Unusual Etiologies of an Unusual Problem: Primary Aortic Mural Thrombus

Abstract

We report on four patients, patient 1 with left upper quadrant pain as a result of splenic infarction; the patient was subsequently found to have a thoracoabdominal aortic thrombus extending through the celiac axis. Patient 2 with breathlessness due to COVID-19 and incidental finding of aortic thrombus. Patient 3 with right lower limb gangrene due to an embolus from a partial lumen occluding thrombus in the abdominal aorta and COVID-19 positive. Patient 4 with left lower limb ischemia As this remains a relatively rare disease, there is no consensus on the nature of disease, prognostic assessments, or optimal treatment strategy.

Keywords

• anticoagulation
• covid-19
• embolism
• primary aortic mural thrombus
• thrombectomy