Detailed Information on Publication Record
2020
Acute mesenteric ischemia caused by floating thrombus of the descending thoracic aorta - case report
BIROŠ, Ernest, Robert STAFFA, Tomáš NOVOTNÝ, Robert VLACHOVSKÝ, Miroslav KREJČÍ et. al.Basic information
Original name
Acute mesenteric ischemia caused by floating thrombus of the descending thoracic aorta - case report
Authors
BIROŠ, Ernest (703 Slovakia, guarantor, belonging to the institution), Robert STAFFA (203 Czech Republic, belonging to the institution), Tomáš NOVOTNÝ (203 Czech Republic, belonging to the institution), Robert VLACHOVSKÝ (203 Czech Republic, belonging to the institution) and Miroslav KREJČÍ (203 Czech Republic, belonging to the institution)
Edition
cor et Vasa, AMSTERDAM, ELSEVIER SCIENCE BV, 2020, 0010-8650
Other information
Language
English
Type of outcome
Článek v odborném periodiku
Field of Study
30201 Cardiac and Cardiovascular systems
Country of publisher
Netherlands
Confidentiality degree
není předmětem státního či obchodního tajemství
References:
RIV identification code
RIV/00216224:14110/20:00118639
Organization unit
Faculty of Medicine
UT WoS
000600548100014
Keywords in English
Abdominal pain; Acute mesenteric ischemia; Descending thoracic aorta; Floating thrombus
Tags
International impact, Reviewed
Změněno: 12/1/2021 09:59, Mgr. Tereza Miškechová
Abstract
V originále
Introduction: Floating thrombus of the descending thoracic aorta (FTDTA) is defined as the presence of a thrombus inside the thoracic aorta, which is caused by an injury to the thoracic aortic wall (dissection, atherosclerosis, tumour, or trauma) or a thrombophilic state in the absence of a thoracic aortic wall injury. It is a rare condition, but can result in peripheral embolisation mainly into the limbs or visceral circulation. Report: A 63-year-old woman presented with signs of visceral embolisation into the superior mesenteric artery (SMA) and splenic artery (SA). Preoperative CT angiography (CTA) discovered the presence of FTDTA. She underwent emergent open embolectomy of the descending thoracic aorta and SMA done through a visceral segment of the abdominal aorta, reached by left-sided medial visceral rotation. During second-look laparotomy, she underwent splenectomy and ileal resection with end-to-end jejuno-ileal anastomosis. CTA of the thoracic and abdominal aorta performed 12 months after the initial operation showed no residual thrombus inside the aorta and patent peripheral vascular beds. Thirty-two months after the index operation, the patient shows no signs of malabsorption and is in good clinical condition. Conclusion: Acute mesenteric ischemia resulting from embolisation of FTDTA is a rare disease. Our surgical approach was guided by the primary abdominal symptomatology of our patient and a clinical suspicion of transmural bowel ischemia being present. Our good clinical outcome confirms the viability of the open surgical approach towards the therapy of complicated FTDTA.
Links
| NV17-29701A, research and development project |
|