Successful Conservative Treatment of a Complicated Aortic Thrombus in a Woman with Factor V Leiden Mutation.
(2021) European journal of case reports in internal medicine — Vol. 8, n° 7, p. 2641 (2021)
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- Abstract
- Thrombus in the aortic trunk is a rare complication. We report the case of a 63-year-old patient with a factor V Leiden mutation in whom an aortic arch thrombus was discovered accidentally. Conservative treatment was initiated with therapeutic anticoagulation with low-molecular-weight heparin leading to complete thrombus lysis after 3 months but associated shortly after anticoagulation initiation with a large splenic and limited renal infarctions. Intra-aortic thrombus is rarely diagnosed on routine CT examination.Even a complicated aortic arch thrombus can be successfully treated with conservative anticoagulation.Vascular systemic embolisms are possible after therapeutic anticoagulation is started.
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Citations
Frebutte, E., Bibombe, M., Dumont, A., Haxhe, M., & REPER, P. (2021). Successful Conservative Treatment of a Complicated Aortic Thrombus in a Woman with Factor V Leiden Mutation. European journal of case reports in internal medicine, 8(7), 2641. https://doi.org/10.12890/2021_002641 (Original work published 2021)