Document Detail

The descending thoracic aorta as a source of arterial embolic disease: a case report.
MedLine Citation:
PMID:  9798774     Owner:  NLM     Status:  MEDLINE    
We present a case report of a previously healthy 33-year-old white male with a long history of intravenous drug use, who presented to our institution with bilateral ischemia of his lower extremities, secondary to thromboemboli. Initial surgical intervention included bilateral femoral thrombectomies, right distal popliteal thrombectomy, and left lower extremity fasciotomy for compartment syndrome. Diagnostic evaluation using transthoracic two-dimensional echocardiography failed to demonstrate a cardiac or thoracic source for these thrombi. Transesophageal echocardiography did demonstrate a mural thrombus of the proximal descending thoracic aorta, approximately 2 cm distal to the origin of the left subclavian artery, at the position of the ligamentum arteriosum. Confirmation was attained using CT and aortography. The patient was successfully treated with resection and placement of an interposition graft.
E H Crutchfield; T Katras; P E Stanton
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  64     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1998 Nov 
Date Detail:
Created Date:  1998-11-13     Completed Date:  1998-11-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1079-81     Citation Subset:  IM    
Department of Surgery, East Tennessee State University, Johnson City 37614, USA.
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MeSH Terms
Acute Disease
Aorta, Thoracic / radiography
Aortic Diseases / complications*,  radiography
Ischemia / etiology
Leg / blood supply*
Thromboembolism / etiology*,  radiography,  surgery
Thrombosis / complications*,  radiography

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