Mobile thrombus of the abdominal aorta: a narrative review
Abstract A primary aortic mural thrombus (PAMT) is defined as a thrombus attached to the aortic wall in the absence of any atherosclerotic or aneurysmal disease of the aorta or any cardiac source of embolus. It is a rare entity that has high morbidity and mortality. There is no consensus on the idea...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
2022-09-01
|
| Series: | Jornal Vascular Brasileiro |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492022000100404&tlng=en |
| _version_ | 1811269517452509184 |
|---|---|
| author | Ana Paula Donadello Martins Leonardo Henrique Bertolucci Rodrigo Batista Warpechowski Arthur Angonese Mariana Saadi de Azevedo Camilla Rodrigues Alfredo Augusto Schulte Silvio Cesar Perini |
| author_facet | Ana Paula Donadello Martins Leonardo Henrique Bertolucci Rodrigo Batista Warpechowski Arthur Angonese Mariana Saadi de Azevedo Camilla Rodrigues Alfredo Augusto Schulte Silvio Cesar Perini |
| author_sort | Ana Paula Donadello Martins |
| collection | DOAJ |
| description | Abstract A primary aortic mural thrombus (PAMT) is defined as a thrombus attached to the aortic wall in the absence of any atherosclerotic or aneurysmal disease of the aorta or any cardiac source of embolus. It is a rare entity that has high morbidity and mortality. There is no consensus on the ideal treatment of PAMT. The objective of this paper is to review the possibilities for treatment of mobile abdominal aortic mural thrombus. Endovascular therapy and open surgery appear to be the best options for treatment of mobile abdominal aortic mural thrombus. Thus, in patients with favorable anatomy, endovascular therapy is probably the treatment choice, while in those with unfavorable anatomy, open surgery is probably the best option for treatment of a mobile abdominal aortic thrombus. It is important to emphasize that anticoagulation alone can be used as a non-aggressive option and, if this fails, endovascular or surgical methods can then be employed. |
| first_indexed | 2024-04-12T21:43:28Z |
| format | Article |
| id | doaj.art-86cbb0e5e0d1481eb959958536294eba |
| institution | Directory Open Access Journal |
| issn | 1677-7301 |
| language | English |
| last_indexed | 2024-04-12T21:43:28Z |
| publishDate | 2022-09-01 |
| publisher | Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
| record_format | Article |
| series | Jornal Vascular Brasileiro |
| spelling | doaj.art-86cbb0e5e0d1481eb959958536294eba2022-12-22T03:15:42ZengSociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)Jornal Vascular Brasileiro1677-73012022-09-012110.1590/1677-5449.202200282Mobile thrombus of the abdominal aorta: a narrative reviewAna Paula Donadello Martinshttps://orcid.org/0000-0002-0225-8086Leonardo Henrique Bertoluccihttps://orcid.org/0000-0001-8882-321XRodrigo Batista Warpechowskihttps://orcid.org/0000-0002-2929-6605Arthur Angonesehttps://orcid.org/0000-0002-3216-9914Mariana Saadi de Azevedohttps://orcid.org/0000-0003-3077-7024Camilla Rodrigueshttps://orcid.org/0000-0001-6978-952XAlfredo Augusto SchulteSilvio Cesar Perinihttps://orcid.org/0000-0002-7171-2756Abstract A primary aortic mural thrombus (PAMT) is defined as a thrombus attached to the aortic wall in the absence of any atherosclerotic or aneurysmal disease of the aorta or any cardiac source of embolus. It is a rare entity that has high morbidity and mortality. There is no consensus on the ideal treatment of PAMT. The objective of this paper is to review the possibilities for treatment of mobile abdominal aortic mural thrombus. Endovascular therapy and open surgery appear to be the best options for treatment of mobile abdominal aortic mural thrombus. Thus, in patients with favorable anatomy, endovascular therapy is probably the treatment choice, while in those with unfavorable anatomy, open surgery is probably the best option for treatment of a mobile abdominal aortic thrombus. It is important to emphasize that anticoagulation alone can be used as a non-aggressive option and, if this fails, endovascular or surgical methods can then be employed.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492022000100404&tlng=enabdominal aortic mural thrombusmural thrombiaortic mobile thrombusprimary aortic mural thrombusendovascular therapy |
| spellingShingle | Ana Paula Donadello Martins Leonardo Henrique Bertolucci Rodrigo Batista Warpechowski Arthur Angonese Mariana Saadi de Azevedo Camilla Rodrigues Alfredo Augusto Schulte Silvio Cesar Perini Mobile thrombus of the abdominal aorta: a narrative review Jornal Vascular Brasileiro abdominal aortic mural thrombus mural thrombi aortic mobile thrombus primary aortic mural thrombus endovascular therapy |
| title | Mobile thrombus of the abdominal aorta: a narrative review |
| title_full | Mobile thrombus of the abdominal aorta: a narrative review |
| title_fullStr | Mobile thrombus of the abdominal aorta: a narrative review |
| title_full_unstemmed | Mobile thrombus of the abdominal aorta: a narrative review |
| title_short | Mobile thrombus of the abdominal aorta: a narrative review |
| title_sort | mobile thrombus of the abdominal aorta a narrative review |
| topic | abdominal aortic mural thrombus mural thrombi aortic mobile thrombus primary aortic mural thrombus endovascular therapy |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492022000100404&tlng=en |
| work_keys_str_mv | AT anapauladonadellomartins mobilethrombusoftheabdominalaortaanarrativereview AT leonardohenriquebertolucci mobilethrombusoftheabdominalaortaanarrativereview AT rodrigobatistawarpechowski mobilethrombusoftheabdominalaortaanarrativereview AT arthurangonese mobilethrombusoftheabdominalaortaanarrativereview AT marianasaadideazevedo mobilethrombusoftheabdominalaortaanarrativereview AT camillarodrigues mobilethrombusoftheabdominalaortaanarrativereview AT alfredoaugustoschulte mobilethrombusoftheabdominalaortaanarrativereview AT silviocesarperini mobilethrombusoftheabdominalaortaanarrativereview |