胸主动脉漂浮血栓的血管内治疗

Juan Marín Peralta, Claudia Marín Heise, Gian Zamboni Torres
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引用次数: 0

摘要

主动脉漂浮血栓的存在是罕见的。栓塞性缺血患者通常通过血管tc进行诊断。栓子在脑血管、四肢、肠、肾、脾等不同部位发生并发症,是一种严重的疾病,可导致患者死亡。目前的治疗方法是长期抗凝治疗加栓塞部位的手术治疗。目的:报告一例以腹痛为表现的患者,其血管ct显示大面积脾梗死,主动脉血栓位于其下降远端,靠近腹腔干。病情通过放置主动脉假体来抑制栓塞源来治疗。讨论:分析了该病例和不同的治疗方案与主动脉位置存在栓塞源的关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ENDOVASCULAR THERAPY IN FLOATING THROMBUS OF THORACIC AORTA
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.
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