ENDOVASCULAR THERAPY IN FLOATING THROMBUS OF THORACIC AORTA

Abstract

Introduction: The presence of a floating thrombus in the aorta is rare. Diagnosis is often achieved through angio-TC in patients with embolic ischemia. It is a serious condition that can end the life of the patient due to complications associated with emboli in different territories such as cerebrovascular, extremities, intestine, kidneys, and spleen. Currently, the treatment is long-term anticoagulation plus the surgical treatment of embolized territories. Objective: To present the case report of a patient who presented with abdominal pain and whose angio-CT revealed a massive splenic infarction, and an aortic thrombus located in its descending distal portion close to the celiac trunk. Condition was treated by placing an aortic endoprosthesis to suppress the embolic source. Discussion: The case and the different treatment alternatives are analyzed in relation to the presence of this embolic source of aortic location.