Cardioembolic source search: why the aorta should not be forgotten
DOI:
https://doi.org/10.37615/retic.n5a6Keywords:
aorta, cardioembolic source, thrombus.Abstract
A 42-year-old male patient with signs of recurrent intestinal ischemia, in whom it was verified that the source of cardioembolic cause was in the descending aorta and presented thrombotic characteristics, that were later confirmed in pathology.
Despite not being a cardiac structure, the thoracic aorta must be evaluated systematically in patients with suspected embolic pathology, although it is less common, it has a high value in patient’s morbidity and mortality.
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Saric M, Armour A, Arnaout S, et al. Guidelines for the use of echocardiography in the evaluation of a cardiac source of embolism. J Am Soc Echocardiogr 2016; 29: 1-42. DOI: https://doi.org/10.1016/j.echo.2015.09.011
Pepi M, Evangelista A, Nihoyannopoulos P, et al. Recommendations for Echocardiography in the Diagnosis and Management of Cardiac Sources of Embolism. Eur J Echocardiogr 2010; 11: 461-476. DOI: https://doi.org/10.1093/ejechocard/jeq045
Jones EF, Kalman JM, Calafiore P, et al. Proximal aortic atheroma: an independent risk factor for cerebral ischemia. Stroke 1995; 26: 218-224.
Laperche T, Laurian C, Roudaut R, Steg PG. Mobile thromboses of the aortic arch without aortic debris. A transesophageal echocardiographic finding associated with unexplained arterial embolism. The Filiale Echocardiographie de la Societe Francaise de Cardiologie. Circulation 1997; 96: 288-294. DOI: https://doi.org/10.1161/01.CIR.96.1.288
Machleder HI, Takiff H, Lois JF, Holburt E. Aortic mural thrombus: an occult source of arterial thromboembolism. J Vasc Surg 1986; 4: 473-478. DOI: https://doi.org/10.1067/mva.1986.avs0040473
Fayad ZY, Semaan E, Fahoum B, et al. Aortic mural thrombus in the normal or minimally atherosclerotic aorta. Ann Vasc Surg 2013; 27: 282-290. DOI: https://doi.org/10.1016/j.avsg.2012.03.011
Weiss S, Buhlmann R, Von Allmen R, et al. Management of floating thrombus in the aortic arch. J Thorac Cardiovasc Surg 2016; 1-8.
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Copyright (c) 2017 Johnna Carolina López-Quintero, José Julián Carvajal-Rivera, Carlos Morr-Velenzuela, Jose Alberto De-Agustin-Loeches
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