School of Medicine, St George's University, St George's, Grenada.
Department of Surgery, Ascension St John Hospital, Detroit, Michigan, USA
BMJ Case Rep. 2022 Mar 24;15(3):e247297. doi: 10.1136/bcr-2021-247297.
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.
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。
