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Distal Abdominal Aortic Thrombus With Approximately Full Occlusion-A Case of Pre-Endovascular Care in

Hilary Chipongo1, Abizer Sarkar2, Esmail Sangey1

  • 1Critical Care Department Shree Hindu Mandal Hospital Dar es Salaam Tanzania.

Clinical Case Reports
|August 5, 2025
PubMed

Up-to-date management of a distal abdominal aortic thrombus is challenging as no dedicated guideline for treating this condition exists. In our setting, it is one of the rare arterial vascular emergencies that can lead to devastating consequences and an increase in patient morbidity or mortality. For this publication, we have a case report of an elderly female of Asian descent who failed multiple attempts of conservative management with thrombolytics but benefited from an intra-arterial papaverine infusion to salvage her ischemic lower limb.

Keywords:
distal abdominal aortic thrombusintra‐arterial vasodilatorpapaverinethrombolytics

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