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@article{1725896,
author = {Biroš, Ernest and Staffa, Robert and Novotný, Tomáš and Vlachovský, Robert and Krejčí, Miroslav},
article_location = {AMSTERDAM},
article_number = {6},
doi = {http://dx.doi.org/10.33678/cor.2020.091},
keywords = {Abdominal pain; Acute mesenteric ischemia; Descending thoracic aorta; Floating thrombus},
language = {eng},
issn = {0010-8650},
journal = {cor et Vasa},
title = {Acute mesenteric ischemia caused by floating thrombus of the descending thoracic aorta - case report},
url = {http://e-coretvasa.cz/pdfs/cor/2020/06/14.pdf},
volume = {62},
year = {2020}
}
TY - JOUR
ID - 1725896
AU - Biroš, Ernest - Staffa, Robert - Novotný, Tomáš - Vlachovský, Robert - Krejčí, Miroslav
PY - 2020
TI - Acute mesenteric ischemia caused by floating thrombus of the descending thoracic aorta - case report
JF - cor et Vasa
VL - 62
IS - 6
SP - 629-632
EP - 629-632
PB - ELSEVIER SCIENCE BV
SN - 00108650
KW - Abdominal pain
KW - Acute mesenteric ischemia
KW - Descending thoracic aorta
KW - Floating thrombus
UR - http://e-coretvasa.cz/pdfs/cor/2020/06/14.pdf
L2 - http://e-coretvasa.cz/pdfs/cor/2020/06/14.pdf
N2 - 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.
ER -
BIROŠ, Ernest, Robert STAFFA, Tomáš NOVOTNÝ, Robert VLACHOVSKÝ and Miroslav KREJČÍ. Acute mesenteric ischemia caused by floating thrombus of the descending thoracic aorta - case report. \textit{cor et Vasa}. AMSTERDAM: ELSEVIER SCIENCE BV, 2020, vol.~62, No~6, p.~629-632. ISSN~0010-8650. Available from: https://dx.doi.org/10.33678/cor.2020.091.
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