Document Detail


Paravisceral aortic thrombus as a source of peripheral embolization--report of three cases and review of the literature.
MedLine Citation:
PMID:  12368747     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Spontaneous embolization resulting in peripheral arterial occlusion remains a significant cause of morbidity and limb loss. Accurate localization and correction of the embolic source is paramount for the prevention of further episodes and for the preservation of long-term patency and limb salvage. Common well-recognized embolic sources include intracardiac thrombus or myxoma, and thrombus within arterial aneurysms or complex atherosclerotic plaques. Less common is thrombus arising de novo in an otherwise normal aorta, possibly as a result of prior trauma, occult arteriopathy, and/or hypercoagulability. Reported herein are three cases of peripheral or mesenteric embolization arising from large thrombi within the visceral aortic segment, with minimal evidence for atherosclerosis or other aortic pathology. Each patient was treated with visceral aortic thrombectomy using a direct surgical approach.
Authors:
Peter J Rossi; Tina R Desai; Christopher L Skelly; Michael A Curi; Seymour Glagov; Lewis B Schwartz
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  36     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2002 Oct 
Date Detail:
Created Date:  2002-10-07     Completed Date:  2002-11-04     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  839-43     Citation Subset:  IM    
Affiliation:
Section of Vascular Surgery, Department of Surgery, University of Chicago, Chicago, IL 60637, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aortic Diseases / complications*,  radiography*,  surgery
Embolism / etiology*,  radiography*,  surgery
Female
Humans
Male
Middle Aged
Peripheral Vascular Diseases / etiology*,  radiography*,  surgery
Thrombosis / complications*,  radiography*,  surgery
Viscera / radiography*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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