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Isolation and Primary Culture of Mouse Aortic Endothelial Cells
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Massive organ embolization from primary aortic thrombosis.

Catarina Patrício1, Mariana Marques Silva1, Pedro Eduardo Silva1

  • 1Departamento de Medicina Interna 2.3, Hospital de Santo António dos Capuchos, Centro Hospitalar Lisboa Central, Lisboa, Portugal.

Revista Portuguesa De Cardiologia
|May 1, 2018
PubMed
Summary
This summary is machine-generated.

Primary aortic thrombosis caused multiple organ infarctions and limb ischemia in a patient. Systemic anticoagulation successfully resolved the aortic thrombus, highlighting its potential efficacy for this rare condition.

Keywords:
Angiotomografia computorizadaComputed Tomography AngiographyEnfartes multissistémicosMulti-Systemic InfarctsPrimary aortic thrombosisTrombose primária da aorta

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Area of Science:

  • Vascular Surgery
  • Cardiology
  • Gastroenterology

Background:

  • Primary aortic thrombosis is a rare condition that can lead to serious embolic events.
  • Aortic atherosclerosis and intracardiac embolic sources are common causes of thrombosis, but were absent in this case.

Observation:

  • A 49-year-old woman presented with acute left foot arterial ischemia and abdominal pain.
  • Computed tomography angiography revealed hepatic, splenic, renal, and pancreatic infarctions, along with a splenic artery embolism and an aortic wall thrombus at the celiac trunk.

Findings:

  • The patient was diagnosed with primary aortic thrombosis, lacking typical risk factors like atherosclerosis.
  • Systemic anticoagulation therapy was initiated for the aortic thrombus.

Implications:

  • The case demonstrates successful resolution of aortic thrombus and associated infarctions with anticoagulation.
  • Close clinical follow-up is essential due to the risk of recurrence even with treatment and risk factor management.