Faculty Collaboration Database

Paravisceral aortic thrombus as a source of peripheral embolization--report of three cases and review of the literature. J Vasc Surg 2002 Oct;36(4):839-43

Date

10/09/2002

Pubmed ID

12368747

DOI

10.1067/mva.2002.126548

Scopus ID

2-s2.0-0036780207 (requires institutional sign-in at Scopus site)   32 Citations

Abstract

Spontaneous embolization resulting in peripheral arterial occlusion remains a significant cause of morbidity and limb loss. Accurate localization and correction of the embolic source is paramount for the prevention of further episodes and for the preservation of long-term patency and limb salvage. Common well-recognized embolic sources include intracardiac thrombus or myxoma, and thrombus within arterial aneurysms or complex atherosclerotic plaques. Less common is thrombus arising de novo in an otherwise normal aorta, possibly as a result of prior trauma, occult arteriopathy, and/or hypercoagulability. Reported herein are three cases of peripheral or mesenteric embolization arising from large thrombi within the visceral aortic segment, with minimal evidence for atherosclerosis or other aortic pathology. Each patient was treated with visceral aortic thrombectomy using a direct surgical approach.

Author List

Rossi PJ, Desai TR, Skelly CL, Curi MA, Glagov S, Schwartz LB

Author

Peter J. Rossi MD Chief, Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Aortic Diseases
Embolism
Female
Humans
Male
Middle Aged
Peripheral Vascular Diseases
Radiography
Thrombosis
Viscera