非病变性主动脉壁血栓导致急性肢体缺血。
Non-diseased aortic mural thrombus presenting with acute limb ischaemia.
机构信息
School of Medicine, St George's University, St George's, Grenada.
Department of Surgery, Ascension St John Hospital, Detroit, Michigan, USA
出版信息
BMJ Case Rep. 2022 Mar 24;15(3):e247297. doi: 10.1136/bcr-2021-247297.
Abstract
We present a case of a thoracic aortic mural thrombus (AMT) in a non-atherosclerotic and non-aneurysmal aorta that presented with acute limb ischaemia. AMT in a non-diseased aorta without an underlying hypercoagulable disorder is rare. The AMT in our patient was managed with anticoagulation, which resolved on a 5-month follow-up CT scan. This provided us an opportunity to discuss the successful medical management of an AMT, to review the literature on the management of AMT and to add to the literature on a rare presentation of an AMT.
摘要
我们报告了一例非粥样硬化性和非动脉瘤性主动脉壁内血栓（AMT）导致急性肢体缺血的病例。无潜在高凝状态疾病的非病变主动脉中的 AMT 较为罕见。我们的患者中的 AMT 通过抗凝治疗进行管理，在 5 个月的 CT 随访中得到了缓解。这为我们提供了一个讨论 AMT 成功的药物治疗的机会，回顾了 AMT 治疗的文献，并为 AMT 的罕见表现添加了文献。
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