Non-diseased aortic mural thrombus presenting with acute limb ischaemia

Ali Khalil; John J Kanitra; David Lorelli

doi:10.1136/bcr-2021-247297

Non-diseased aortic mural thrombus presenting with acute limb ischaemia

BMJ Case Rep. 2022 Mar 24;15(3):e247297. doi: 10.1136/bcr-2021-247297.

Authors

Ali Khalil¹, John J Kanitra², David Lorelli³

Affiliations

¹ School of Medicine, St George's University, St George's, Grenada.
² Department of Surgery, Ascension St John Hospital, Detroit, Michigan, USA [email protected].
³ Department of Surgery, Ascension St John Hospital, Detroit, Michigan, USA.

Abstract

We present a case of a thoracic aortic mural thrombus (AMT) in a non-atherosclerotic and non-aneurysmal aorta that presented with acute limb ischaemia. AMT in a non-diseased aorta without an underlying hypercoagulable disorder is rare. The AMT in our patient was managed with anticoagulation, which resolved on a 5-month follow-up CT scan. This provided us an opportunity to discuss the successful medical management of an AMT, to review the literature on the management of AMT and to add to the literature on a rare presentation of an AMT.

Keywords: Cardiovascular system; Haematology (drugs and medicines); Vascular surgery.

Publication types

Case Reports

MeSH terms

Aorta
Heart Diseases*
Humans
Ischemia / etiology
Peripheral Vascular Diseases*
Thrombosis* / complications
Thrombosis* / diagnostic imaging
Thrombosis* / drug therapy