Aortic Mural Thrombus in the Normal or Minimally Atherosclerotic Aorta

Endovascular Management of Idiopathic Proximal Descending Aortic Thrombus after Attempted Medical Management

“…Complications were reported as 27% and 17% for medical and surgical management, respectively. Mortality rates were 6.2% for anticoagulation and 5.7% for surgery [2].…”

“…In the spectrum of therapies, some authors would argue to start with anticoagulation and reserve more invasive therapies for recurrences or aortic thrombi that do not resolve after anticoagulation [3]. Other authors would argue a more aggressive approach with open aortic surgery [2].…”

“…Several case reports and small case series comprise the bulk of the published research regarding TAMT. Treatments include anticoagulation therapy, thrombolytic therapy, open aortic surgery, and endovascular stent grafting [2]. There are no widely accepted guidelines for treatment.…”

Diagnosis of abdominal mural aortic thrombus following discovery of common femoral artery and vein thrombosis by point-of-care ultrasound

“…A mural aortic thrombus (MAT) is an extremely rare condition, with less than 250 cases reported in the literature [1,2] and remains an infrequent cause of distal arterial thromboembolism. As a MAT is usually seen in the setting of an aneurysm or dissection, distal extremity embolus originating from a thrombus found in a morphologically normal aorta, as described in our case below, represents a rare event.…”

“…[2,8,[9][10][11] As ALI remains a time-sensitive condition, rapid diagnosis and management must be attained, as further management is based upon the clinical degree of ischemic insult and may range from simple anticoagulation to surgical amputation. Primary amputation of an ischemic limb ranges from 10 to 40 %.…”