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Thoracic endovascular aortic repair in a patient with mobile aortic thrombosis
Graham M Lohrmann1, Ferande Peters2
1Chris Hani Baragwanath Academic Hospital, Old Potchefstroom Road, Soweto, Johannesburg 2013, South Africa.
Abstract:
A 58-year-old female presented with acute arterial insufficiency to her left leg. Following cardiovascular evaluation using multimodality imaging, it was discovered that she had mobile thoracic thrombi overlying a normal descending thoracic aorta which had also caused a splenic infarction. This patient was treated with unfractionated heparin for three days and underwent subsequent thoracic endovascular aortic repair (TEVAR) uneventfully with no subsequent complications at one-year followup. This case highlights the diagnostic and therapeutic challenges in treating patients with this uncommon challenging clinical scenario.
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