Silverglate Quinn, Maldonado Thomas S, Narula Navneet, Garg Karan
Grossman School of Medicine, New York University, New York, NY.
Division of Vascular Surgery, Department of Surgery, New York University Langone Medical Center, New York, NY.
J Vasc Surg Cases Innov Tech. 2020 Dec 16;7(1):123-127. doi: 10.1016/j.jvscit.2020.12.001. eCollection 2021 Mar.
Aortic mural thrombus in the absence of underlying aortic disease is rare and results in a risk of distant arterial embolization that can result in limb loss or other end organ damage. Current management involves open surgery, anticoagulation, and systemic thrombolysis; however, each carries inherent risks. We report the case of aortic thrombus with distal emboli in two patients, a 56-year-old man and a 68-year-old man, neither with underlying aortic pathology and both presenting with limb threatening ischemia. We performed percutaneous mechanical thrombectomy using the FlowTriever System (Inari Medical, Irvine, Calif) with successful removal of the aortic thrombus in both patients.
在没有潜在主动脉疾病的情况下，主动脉壁血栓很少见，会导致远处动脉栓塞风险，可能导致肢体丧失或其他终末器官损伤。目前的治疗方法包括开放手术、抗凝和全身溶栓；然而，每种方法都有内在风险。我们报告了两名患者的主动脉血栓伴远端栓子的病例，一名56岁男性和一名68岁男性，两人均无潜在主动脉病变，均表现为威胁肢体的缺血。我们使用FlowTriever系统（Inari Medical，加利福尼亚州欧文）进行了经皮机械血栓切除术，两名患者的主动脉血栓均成功清除。
