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Successful Conservative Treatment of a Complicated Aortic Thrombus in a Woman with Factor V Leiden Mutation

Elise Frebutte1, Myriam Bibombe1, Arthur Dumont1

  • 1Internal Medicine Department, CHR Haute Senne, Soignies, Belgium.

European Journal of Case Reports in Internal Medicine
|July 16, 2021
PubMed

Thrombus in the aortic trunk is a rare complication. We report the case of a 63-year-old patient with a factor V Leiden mutation in whom an aortic arch thrombus was discovered accidentally. Conservative treatment was initiated with therapeutic anticoagulation with low-molecular-weight heparin leading to complete thrombus lysis after 3 months but associated shortly after anticoagulation initiation with a large splenic and limited renal infarctions.

Keywords:
Aortic thrombusanticoagulationembolismfactor V Leiden

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