Download PDF
Int J Angiol 2023; 32(02): 140-142
DOI: 10.1055/s-0041-1740916
Case Report

Frozen Elephant Trunk Technique to Treat Extensive Thoracic Aortic Mural Thrombus

Dmitri S. Panfilov
1   Department of Cardiovascular, Cardiology Research Institute, Tomsk National Research Medical Center, Tomsk, Russia
,
Boris N. Kozlov
1   Department of Cardiovascular, Cardiology Research Institute, Tomsk National Research Medical Center, Tomsk, Russia
› Author Affiliations
› Further Information
    Permissions and Reprints

Abstract

We describe a case report of a 63-year-old man who presented with chronic left-hand weakness and the absence of a pulse in the left arm. Thoracoabdominal computed tomography (CT) revealed an extensive thoracic aortic mural thrombus. Initial anticoagulation therapy did not provide a positive result, so the patient was referred for surgery. Hybrid aortic arch surgery using the frozen elephant trunk technique was performed with excellent early outcomes. A CT performed in the early postoperative period showed that the thrombus was completely excluded from the aortic lumen by the hybrid graft. No thrombus dislodgment was detected. No thrombus recurrence was observed during 19 months of follow-up.

Keywords

thoracic aorta - aortic thrombus - frozen elephant trunk


Publication History

Article published online:
24 December 2021

© 2021. International College of Angiology. This article is published by Thieme.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Maloberti A, Oliva F, De Chiara B, Giannattasio C. Asymptomatic aortic mural thrombus in a minimally atherosclerotic vessel. Interact Cardiovasc Thorac Surg 2016; 22 (03) 371-373
    CrossrefPubMedGoogle Scholar
  • 2 Verma H, Meda N, Vora S, George RK, Tripathi RK. Contemporary management of symptomatic primary aortic mural thrombus. J Vasc Surg 2014; 60 (06) 1524-1534
    CrossrefPubMedGoogle Scholar
  • 3 Rancic Z, Pfammatter T, Lachat M, Frauenfelder T, Veith FJ, Mayer D. Floating aortic arch thrombus involving the supraaortic trunks: successful treatment with supra-aortic debranching and antegrade endograft implantation. J Vasc Surg 2009; 50 (05) 1177-1180
    CrossrefPubMedGoogle Scholar
  • 4 Tsilimparis N, Hanack U, Pisimisis G, Yousefi S, Wintzer C, Rückert RI. Thrombus in the non-aneurysmal, non-atherosclerotic descending thoracic aorta–an unusual source of arterial embolism. Eur J Vasc Endovasc Surg 2011; 41 (04) 450-457
    CrossrefPubMedGoogle Scholar