Key result
Both thoracic endovascular aortic repair and therapeutic anticoagulation successfully treated mobile thrombus of the thoracic aorta in two distinct clinical presentations without recurrent embolic events.
Why the study?
Mobile thrombus of the nonaneurysmal, nonatherosclerotic aorta presents with catastrophic embolic events, but definitive management guidelines are lacking due to limited cases.
Case Report (n=2)
Mobile thrombus of the thoracic aorta is a rare cause of embolic events that can be managed with therapeutic anticoagulation or endovascular stent grafting depending on the clinical scenario.
Supports individualized management of thoracic aortic thrombus via anticoagulation or stenting; leaves open optimal strategy and long-term outcomes.
Mobile thrombus of the nonaneurysmal, nonatherosclerotic aorta is a rare condition but presents with catastrophic embolic events. We describe two cases that demonstrate differences in presentation and treatment strategies. We review the literature to discuss initial management as well as surgical options. However, due to the limited number of cases, no definitive guidelines for management exist.
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Vaidya et al. (2021) conducted a case report in Mobile thrombus of the thoracic aorta (n=2). Thoracic aortic stent grafting and therapeutic anticoagulation was evaluated on Resolution of thrombus and prevention of recurrent embolic events. Both thoracic endovascular aortic repair and therapeutic anticoagulation successfully treated mobile thrombus of the thoracic aorta in two distinct clinical presentations without recurrent embolic events.
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