RESUMO
Abstract We report the case of a 41-year-old female who presented with left upper limb embolization due to primary thoracic aortic mural thrombus; this latter represented an uncommon condition with difficult diagnosis and a high rate of life-threatening complications. Upper extremities embolization is extremely rare because it usually occurs in the lower limbs. Management strategy is still controversial, and no clear guidelines indicate superiority of either conservative or invasive treatment approach to date. Our report illustrates how endovascular exclusion of thoracic aortic mural thrombus has the advantage to be a low-risk procedure that represents a definitive therapy.
Assuntos
Humanos , Feminino , Adulto , Doenças da Aorta/cirurgia , Doenças da Aorta/etiologia , Doenças da Aorta/diagnóstico por imagem , Tromboembolia , Trombose/cirurgia , Trombose/etiologia , Trombose/diagnóstico por imagem , Procedimentos Endovasculares/efeitos adversos , Aorta Torácica/cirurgia , Aorta Torácica/diagnóstico por imagem , Fatores de Risco , Resultado do Tratamento , Extremidade SuperiorRESUMO
We report the case of a 41-year-old female who presented with left upper limb embolization due to primary thoracic aortic mural thrombus; this latter represented an uncommon condition with difficult diagnosis and a high rate of life-threatening complications. Upper extremities embolization is extremely rare because it usually occurs in the lower limbs. Management strategy is still controversial, and no clear guidelines indicate superiority of either conservative or invasive treatment approach to date. Our report illustrates how endovascular exclusion of thoracic aortic mural thrombus has the advantage to be a low-risk procedure that represents a definitive therapy.