Mural thrombus in the normal-appearing descending thoracic aorta of a chronic smoker
| Autor: | Habib, Habib, Judy, Hsu, Patricia Jo, Winchell, Joseph, Daoko |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
education
Smoking Aortic Diseases Aorta Thoracic Thrombosis Case Reports Middle Aged Magnetic Resonance Imaging Diagnosis Differential Electrocardiography Chronic Disease cardiovascular system Humans Female cardiovascular diseases Tomography X-Ray Computed Echocardiography Transesophageal circulatory and respiratory physiology Follow-Up Studies |
| Zdroj: | Texas Heart Institute journal. 40(5) |
| ISSN: | 1526-6702 |
| Popis: | Thrombus formation in an atherosclerotic or aneurysmal descending thoracic aorta is a well-described, frequently encountered vascular condition. In comparison, thrombus formation in a normal-appearing descending thoracic aorta is reported far less often. We describe the case of a 46-year-old woman who had splenic and renal infarctions secondary to embolic showers from a large, mobile thrombus in a morphologically normal proximal descending thoracic aorta. After the patient underwent anticoagulation, stent-grafting, and surgical bypass to correct an arterial blockage caused by the stent-graft, she resumed a relatively normal life. In contrast with other cases of a thrombotic but normal-appearing descending thoracic aorta, this patient had no known malignancy or systemic coagulative disorders; her sole risk factor was chronic smoking. We discuss our patient's case and review the relevant medical literature, focusing on the effect of smoking on coagulation physiology. |
| Databáze: | OpenAIRE |
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