Management of acute aortic thrombosis

Area of Science:

• Vascular Surgery
• Cardiology
• Hematology

Background:

• Acute aortic thrombosis (AAT) is a rare, life-threatening condition causing sudden aortic occlusion.
• High mortality and morbidity associated with AAT persist despite modern surgical interventions.
• Common causes include saddle embolus, in situ aortic thrombosis, and abdominal aortic aneurysm occlusion.

Purpose of the Study:

• To summarize the understanding of acute aortic thrombosis, its risk factors, clinical presentation, and management.
• To highlight the challenges in treating AAT and the critical need for timely intervention and referral.

Main Methods:

• Review of existing literature on acute aortic thrombosis.
• Analysis of risk factors, clinical symptoms, and therapeutic approaches.
• Discussion of the pathophysiology and complications of AAT.

Main Results:

• Age and advanced cardiac disease are significant risk factors for AAT.
• Neurological symptoms can mimic stroke, complicating diagnosis.
• Reperfusion injury and postperfusion syndrome are major causes of mortality post-revascularization.

Conclusions:

• Prompt revascularization is crucial to prevent ischemic damage in AAT.
• Referral to specialized centers is vital for patients requiring immediate surgical intervention.
• Managing post-revascularization complications is a key challenge in AAT treatment.