In-Stent Late Thrombus in a Patient with Aortic Coarctation

Area of Science:

• Cardiovascular Medicine
• Interventional Cardiology

Background:

• Aortic coarctation stenting is a common intervention for congenital heart defects.
• Late in-stent thrombosis is a potential complication following aortic stent graft placement.

Observation:

• A 27-year-old male patient presented for routine follow-up after aortic coarctation stent implantation.
• Asymptomatic, late, in-stent thrombosis was detected during routine surveillance imaging.
• The patient remained asymptomatic despite the presence of the thrombus.

Findings:

• Anticoagulant therapy was initiated for the detected in-stent thrombus.
• Successful resolution of the thrombus was achieved with anticoagulant treatment.
• This case highlights anticoagulant therapy as a viable option for asymptomatic aortic stent graft-associated thrombus.

Implications:

• Conservative management with anticoagulation can be effective for asymptomatic late in-stent thrombosis.
• Surgical intervention remains a consideration for symptomatic or complicated cases, including thromboembolism or hemodynamic compromise.
• This finding contributes to the understanding of managing late complications after aortic stenting.