Mural Thrombus Aorta

Mural thrombus is basically a blood clot that is formed in the blood and is attached to the lining of a chamber of the heart or the wall of a blood vessel. They are mainly formed in the aorta.

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Both anticoagulation therapy and aortic surgery are commonly used as primary treatment but there are no consensuses or clinical guidelines to outline the best management strategy for this unusual problem.

Mural thrombus aorta. They are dangerous and can break loose to form emboli. The following is the case of a patient with pulmonary embolisms found to have two incidental amt secondary to hit in a structurally normal aorta. The same term is used to also describe clots in the heart such as post myocardial infarction in an aneurysmal dilatation.

Mural thrombi can arise in normal arteries in the context of hypercoagulability or within aneurysms. Twenty six peripheral arterial emboli complicating 14 cases of mural thrombi of the aorta were diagnosed between january 1978 and december 1986. It appears to occur more frequently in young adults usually with underlying pro thrombotic disorder.

Gagliardi jm 1 batt m khodja rh le bas p. 1 service de chirurgie vasculaire hôpital annexe république nice france. These thrombi may be associated with atherosclerotic plaques or may evolve de novo in the aorta.

Aortic mural thrombus is a rare clinical finding in the absence of aneurysm or atherosclerosis but an important source of noncardiogenic emboli with a difficult diagnosis and a high rate of complications including high mortality. Aortic mural thrombus in the absence of atheroscle rotic occlusive or aneurysmal disease is a relatively un common entity. Aortic mural thrombus is usually associated with aneurysmal disease dissection or severe atherosclerosis of the thoracic or abdominal aorta.

Amt in an aorta without apparent structural disease is even more unusual. Mural thrombus of the aorta. Mural thrombus is formation of thrombus in an artery most commonly the aorta.

The association between white thrombus in the aorta and multiple embolic occlusions of peripheral vessels were made 22 years ago. Multiple causes and risk factors for tamt have been described including hypercoagulable states including nonaortic malignant disease smoking. Aortic mural thrombus in a nonaneurysmal minimally atherosclerotic or normal aorta is a rare clinical entity and an unusual cause of peripheral arterial embolization.

A mural thrombus can be symptomatic or asymptomatic. Aortic mural thrombus amt is a rare condition with potentially severe embolic consequences and no clear consensus on management. Final diagnosis mural thrombus in the distal aorta.

Aortic mural thrombus in a nonaneurysmal minimally atherosclerotic or normal aorta is a rare clinical entity and an uncommon cause of peripheral arterial embolization. However mural thrombus has been neglected as a major cause of embolus because the process was attributed to paradoxical effects of heparin. Discussion primary aortic non occlusive thrombus is a rare entity and not commonly encountered in routine practice.

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