Mobile thrombus of the abdominal aorta: a narrative review
| Autor: | Ana Paula Donadello Martins, Leonardo Henrique Bertolucci, Rodrigo Batista Warpechowski, Arthur Angonese, Mariana Saadi de Azevedo, Camilla Rodrigues, Alfredo Augusto Schulte, Silvio Cesar Perini |
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| Jazyk: | English<br />Portuguese |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Jornal Vascular Brasileiro, Vol 21 (2022) |
| Druh dokumentu: | article |
| ISSN: | 1677-7301 1677-5449 |
| DOI: | 10.1590/1677-5449.202200282 |
| Popis: | Abstract A primary aortic mural thrombus (PAMT) is defined as a thrombus attached to the aortic wall in the absence of any atherosclerotic or aneurysmal disease of the aorta or any cardiac source of embolus. It is a rare entity that has high morbidity and mortality. There is no consensus on the ideal treatment of PAMT. The objective of this paper is to review the possibilities for treatment of mobile abdominal aortic mural thrombus. Endovascular therapy and open surgery appear to be the best options for treatment of mobile abdominal aortic mural thrombus. Thus, in patients with favorable anatomy, endovascular therapy is probably the treatment choice, while in those with unfavorable anatomy, open surgery is probably the best option for treatment of a mobile abdominal aortic thrombus. It is important to emphasize that anticoagulation alone can be used as a non-aggressive option and, if this fails, endovascular or surgical methods can then be employed. |
| Databáze: | Directory of Open Access Journals |
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