https://doi.org/10.4081/monaldi.2021.2090
Aortic thrombosis: the forgotten source of ischemic stroke. A case report and systematic review of the literature
Published: December 3, 2021
Abstract Views: 1273
PDF: 455
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Ischemic stroke represents one of the most important health problems in industrialized countries, both for epidemiological and socio-economic impact. The presence of thrombi in the aorta is rare and its treatment has not been uniquely defined. Here we report the case of an 82-years-old man with aortic thrombosis and acute ischemic stroke.
Majersik JJ, Woo D. The enormous financial impact of stroke disability. Neurology 2020;94:377-8.
DOI: https://doi.org/10.1212/WNL.0000000000009030
Erbel R, Aboyans V, Boileau C, et al. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European. Eur Heart J 2014;35:2873-926.
DOI: https://doi.org/10.1093/eurheartj/ehu281
Sachdev S, Bardia N, Nguyen L, Omar B. Bioprosthetic valve thrombosis. Cardiol Res 2018;9:335-42.
DOI: https://doi.org/10.14740/cr789
Pradegan N, Basso C, Della Barbera M, et al. Cardiac arrest due to acute massive aortic root thrombosis after pericardial bioprosthetic aortic valve replacement. Cardiovasc Pathol 2019;41:8-10.
DOI: https://doi.org/10.1016/j.carpath.2019.03.003
Yamase Y, Kuwabara F, Watanabe K, et al. A case of floating thrombus in the ascending aorta that caused recurrent peripheral arterial embolic events. J Cardiol Cases 2015;12:57-60.
DOI: https://doi.org/10.1016/j.jccase.2015.04.009
Bowdish ME, Weaver FA, Liebman HA, et al. Anticoagulation is an effective treatment for aortic mural thrombi. J Vasc Surg 2002;36:713-9.
DOI: https://doi.org/10.1067/mva.2002.127968
Reber PU, Patel AG, Stauffer E, et al. Mural aortic thrombi: An important cause of peripheral embolization. J Vasc Surg 1999;30:1084-9.
DOI: https://doi.org/10.1016/S0741-5214(99)70047-9
Barry N, Tsui J, Dick J, et al. Aortic tumor presenting as acute lower limb ischemia. Circulation 2011;123:1785-7.
DOI: https://doi.org/10.1161/CIRCULATIONAHA.110.985689
Stoevesandt D, Klempt C, Scheubel R, et al. Embolic events caused by aortic thrombi: an underestimated entity? J Thromb Thrombolysis 2013;35:223-7.
DOI: https://doi.org/10.1007/s11239-012-0775-x
Yang P, Li Y, Huang Y, et al. A giant floating thrombus in the ascending aorta: a case report. BMC Surg 2020;20:321.
DOI: https://doi.org/10.1186/s12893-020-00983-6
Dhillon P, Murdoch D, Jayasinghe R, Niranjan S. A case of mobile aortic arch thrombus with systemic embolisation, a management dilemma. Heart Lung Circ 2014;23:e88-91.
DOI: https://doi.org/10.1016/j.hlc.2013.09.009
Houmsse M, McDavid A, Kilic A. Large de novo ascending aortic thrombus successfully treated with anticoagulants. J Cardiovasc Thorac Res 2018;10:113-4.
DOI: https://doi.org/10.15171/jcvtr.2018.18
Scott DJ, White JM, Arthurs ZM. Endovascular management of a mobile thoracic aortic thrombus following recurrent distal thromboembolism: a case report and literature review. Vasc Endovascular Surg 2014;48:246-50.
DOI: https://doi.org/10.1177/1538574413513845
de Maat GE, Vigano G, Mariani MA, Natour E. Catching a floating thrombus; a case report on the treatment of a large thrombus in the ascending aorta. J Cardiothorac Surg 2017;12:34.
DOI: https://doi.org/10.1186/s13019-017-0600-x
Campanile A, Sardone M, Pasquino S, et al. Surgical management of a free-floating thrombus in the ascending aorta. Asian Cardiovasc Thorac Ann 2019;27:221-3.
DOI: https://doi.org/10.1177/0218492318804956
Wang B, Ma D, Cao D, Man X. Huge thrombus in the ascending aorta: a case report and literature review. J Cardiothorac Surg 2019;14:157.
DOI: https://doi.org/10.1186/s13019-019-0975-y
Tunick PA, Kronzon I. Atheromas of the thoracic aorta: clinical and therapeutic update. J Am Coll Cardiol 2000;35:545-54.
DOI: https://doi.org/10.1016/S0735-1097(99)00604-X
Laperche T, Laurian C, Roudaut R, Steg PG. Mobile thromboses of the aortic arch without aortic debris. A transesophageal echocardiographic finding associated with unexplained arterial embolism. The Filiale Echocardiographie de la Société Française de Cardiologie. Circulation 1997;96:288-94.
DOI: https://doi.org/10.1161/01.CIR.96.1.288
Reyes Valdivia A, Duque Santos A, Garnica Ureña M, et al. anticoagulation alone for aortic segment treatment in symptomatic primary aortic mural thrombus patients. Ann Vasc Surg 2017;43:121-6.
DOI: https://doi.org/10.1016/j.avsg.2017.01.005
How to Cite
Basile, Christian, Costantino Mancusi, Paola Gargiulo, Pasquale Perrone Filardi, Cinzia Perrino, Grazia Canciello, Maria Angela Losi, and Giovanni Esposito. 2021. “Aortic Thrombosis: The Forgotten Source of Ischemic Stroke. A Case Report and Systematic Review of the Literature”. Monaldi Archives for Chest Disease 92 (3). https://doi.org/10.4081/monaldi.2021.2090.
Copyright (c) 2021 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Paola Gargiulo, Carmen D'Amore, Santo Dellegrottaglie, Dario Leosco, Giuseppe Rengo, Francesca Musella, Elisabetta Pirozzi, Susanna Mosca, Laura Casaretti, Roberto Formisano, Ada Bologna, Antonio Parente, Sirio Conte, Pasquale Perrone-Filardi, From myocardium to the atherosclerotic plaque: new perspectives in cardiologic imaging , Monaldi Archives for Chest Disease: Vol. 76 No. 2 (2011): Cardiac series
- Iacopo Muraca, Francesca Ciatti, Angela Migliorini, Niccolò Marchionni, Renato Valenti, Antithrombotic therapy in acute coronary syndrome: undertreatment of elderly? , Monaldi Archives for Chest Disease: Vol. 90 No. 4 (2020)
- Cinzia Nugara, Annamaria Lo Voi , Davide Diana, Silvia Sarullo, Antonino Zarcone, Filippo M. Sarullo, A case of extensive biatrial clot straddling the patent foramen ovale , Monaldi Archives for Chest Disease: Vol. 91 No. 2 (2021)
- Anu Anna George, Tejveer Singh, Pradnya Brizmohan Bhattad, Akil A. Sherif, Ajay Kumar Mishra, Serratia endocarditis, uncommon organism, with significant complications , Monaldi Archives for Chest Disease: Vol. 93 No. 4 (2023)
- Caterina Oriana Aragona, Andrea Bianco, Roberto Caruso, Massimo Cerulli, Nicola Cosentino, Antonio Cittadini, Michele Gabriele, Mario Mallardo, Roberto Marini, Bruna Miserrafiti, Pietro Palermo, Alfonso Galati, Lipid-lowering therapy in patients with coronary heart disease: an Italian real-life survey. Results from the Survey on Risk FactOrs and CardiovascuLar secondary prEvention and drug strategieS (SOFOCLES) in Italy , Monaldi Archives for Chest Disease: Early Access
You may also start an advanced similarity search for this article.
