A case of aortic thrombosis and embolism preceding the progression of early esophageal cancer

Autor: Mashio Nakamura, Ryuji Okamoto, Tetsushiro Takeuchi, Akihiro Takasaki, Itaru Goto, Masaaki Ito, Masatoshi Miyahara, Toshiki Sawai, Hiroshi Matsuo
Rok vydání: 2013
Předmět:
Zdroj: Journal of Cardiology Cases. 7:e123-e125
ISSN: 1878-5409
DOI: 10.1016/j.jccase.2012.12.008
Popis: Aortic thrombosis is rare, especially in non-atherosclerotic aortae. A 51-year-old woman presented with intermittent claudication in the right lower extremity. She was diagnosed as having peripheral artery disease on ultrasound. A computed tomography scan showed a large, sessile, aortic mural thrombus from the infrarenal abdominal aorta to the right common iliac artery. An arteriogram showed an abrupt occlusion of the right superficial femoral artery with collateral arteries. She had no risk factors for atherosclerosis. Interestingly, this occurred before early esophageal cancer progressed. Heparin was administered intravenously and later changed to warfarin. In the follow-up period, the thrombus disappeared, and her symptoms improved. A careful investigation for malignant disease is needed when aortic thrombus occurs in patients with no atherosclerosis risk factors.
Databáze: OpenAIRE