Successful Conservative Treatment of Mobile Aortic Thrombus Causing Acute Limb Ischemia

Dimitrios Mouselimis, MD; Alexander Giesen, MD; Konstantinos P. Donas, MD; Grigorios Korosoglou, MD

JACC: Case Reports (Apr 2023)

Successful Conservative Treatment of Mobile Aortic Thrombus Causing Acute Limb Ischemia

Dimitrios Mouselimis, MD,
Alexander Giesen, MD,
Konstantinos P. Donas, MD,
Grigorios Korosoglou, MD

Affiliations

Dimitrios Mouselimis, MD: GRN Hospital Weinheim, Department of Cardiology, Vascular Medicine and Pneumology, Weinheim, Germany; Address for correspondence: Dimitrios Mouselimis, GRN Hospital Weinheim, Department of Cardiology and Vascular Medicine, Roentgenstrasse 1, D-69469, Weinheim, Germany.
Alexander Giesen, MD: GRN Hospital Weinheim, Department of Cardiology, Vascular Medicine and Pneumology, Weinheim, Germany
Konstantinos P. Donas, MD: Department of Vascular and Endovascular Surgery, Research Vascular Centre, Asklepios Clinic Langen, Langen, Germany; Department of Vascular Surgery, Bern University Hospital, University of Bern, Switzerland
Grigorios Korosoglou, MD: GRN Hospital Weinheim, Department of Cardiology, Vascular Medicine and Pneumology, Weinheim, Germany

Journal volume & issue: Vol. 11
p. 101770

Abstract

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In this clinical vignette, we present the case of an 83-year-old female patient with acute limb ischemia, resulting from a large (1.8 × 2.8 cm) mobile thrombus in the descending aorta. The peripheral obstruction was treated with mechanical thrombectomy, whereas the intra-aortic thrombus was treated conservatively with clopidogrel and fondaparinux. (Level of Difficulty: Beginner.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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