Key result
Thrombectomy and aggressive anticoagulation resolve free-floating aortic arch thrombus and ischemic symptoms after 3 months.
Why the study?
Does aggressive anticoagulation therapy and thrombectomy improve outcomes in a patient with free-floating thrombus in the aortic arch?
Case Report (n=1)
Does aggressive anticoagulation therapy and thrombectomy improve outcomes in a patient with free-floating thrombus in the aortic arch?
Aggressive anticoagulation therapy combined with thrombectomy can successfully treat free-floating thrombus in the aortic arch presenting with upper limb ischemia.
May support thrombectomy plus anticoagulation for select aortic arch thrombus; leaves open efficacy and safety in prospective studies.
Floating thrombus in a nonaneurysmal and nonatherosclerotic arch of the aorta is an extremely rare event with potential catastrophic complications. There is a risk of both systemic and cerebral embolization. We present a case of floating thrombus in the arch of the aorta who presented with left upper limb advanced ischemia. Confirmation of the diagnosis was done by computed tomography angiogram. His upper limb symptoms were relieved with thrombectomy, supported by medical line of treatment. For floating thrombus in the arch of the aorta, he was started on aggressive anticoagulation therapy, and there was significant resolution after 4 weeks and complete resolution after 3 months of the treatment. We report our experience with a very rare condition and make a proposal for therapeutic interventions.
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Devender Singh (2018) conducted a case report in Free-floating thrombus in the arch of the aorta (n=1). Thrombectomy and aggressive anticoagulation therapy was evaluated on Resolution of thrombus and relief of symptoms. Thrombectomy and aggressive anticoagulation therapy resulted in relief of ischemic symptoms and complete resolution of a free-floating aortic arch thrombus after 3 months.
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