This case highlights the risk of distal embolization and acute limb ischemia in patients with malignancy-associated aortic arch floating thrombus despite initial anticoagulation.
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May cause distal embolization in cancer despite LMWH; leaves open optimal therapy for aortic arch floating thrombus.
Free floating thrombus of aortic arch in a minimally atherosclerotic or nonaneurysmal aorta is a rare disease entity which carries a potential risk of distal embolization with catastrophic consequences. We present the case of a 52-years-old patient with ovarian cancer and aortic arch floating thrombus who initially managed with low molecular weight heparin and eventually undergone surgical thrombectomy of left external iliac and common femoral artery due to acute ischemia of left lower leg.
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Tigkiropoulos et al. (2018) studied this question.
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