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Three patients (33.3%) showing pedunculated thrombus (one in pararenal aorta, one at the level of the celiac aorta, and one in the thoracic aorta) were immediately treated with the association of systemic anticoagulation and aortic surgery.
2 lis 2022 · The “2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease” provides recommendations to guide clinicians in the diagnosis, genetic evaluation and family screening, medical therapy, endovascular and surgical treatment, and long-term surveillance of patients with aortic disease across its multiple clinical presentation ...
We present our experience of managing 19 patients with aortic mural thrombus in an otherwise normal aorta and review published literature and contemporary management strategies of aortic mural thrombus based on morphologic features of the thrombus as well as its anatomic location.
26 sty 2017 · Thoracic aortic mural thrombus (TAMT) of the descending aorta is rare but can result in dramatic embolic events. Early treatment is therefore crucial; however, there is not a consensus on ideal initial treatment.
Mural thrombus vs IMH. Mural thrombus in a dilated aorta may appear as a crescentic wall thickening, usually with an irregular luminal surface, but it does not show high attenuation on noncontrast CT images.
Treatment strategies span medical management with anticoagulation alone to more invasive measures, including open thrombectomy, surgical replacement, and endovascular exclusion. Given the relatively small. From the Division of Vascular and Endovascular Surgery, Department of Sur-gery, Cooper University Hospital.
Treatment consisted of anticoagulation in all patients in association with surgical exclusion of the PAMT, distal thrombectomy alone, or in addition to distal bypass.
