Panfilov Dmitri S, Kozlov Boris N
Department of Cardiovascular, Cardiology Research Institute, Tomsk National Research Medical Center, Tomsk, Russia.
Int J Angiol. 2021 Dec 24;32(2):140-142. doi: 10.1055/s-0041-1740916. eCollection 2023 Jun.
We describe a case report of a 63-year-old man who presented with chronic left-hand weakness and the absence of a pulse in the left arm. Thoracoabdominal computed tomography (CT) revealed an extensive thoracic aortic mural thrombus. Initial anticoagulation therapy did not provide a positive result, so the patient was referred for surgery. Hybrid aortic arch surgery using the frozen elephant trunk technique was performed with excellent early outcomes. A CT performed in the early postoperative period showed that the thrombus was completely excluded from the aortic lumen by the hybrid graft. No thrombus dislodgment was detected. No thrombus recurrence was observed during 19 months of follow-up.
我们报告一例63岁男性病例，该患者出现慢性左手无力且左臂无脉搏。胸腹部计算机断层扫描（CT）显示广泛的胸主动脉壁血栓形成。初始抗凝治疗效果不佳，因此患者被转诊接受手术。采用冰冻象鼻技术进行了杂交主动脉弓手术，早期效果良好。术后早期进行的CT检查显示，杂交移植物将血栓完全排除在主动脉腔外。未检测到血栓脱落。在19个月的随访期间未观察到血栓复发。
