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

Non-diseased aortic mural thrombus presenting with acute limb ischaemia

Ali Khalil  1 , John J Kanitra  2 , David Lorelli  3
Affiliations
Case Reports

Non-diseased aortic mural thrombus presenting with acute limb ischaemia

Ali Khalil et al. BMJ Case Rep. .

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.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Descending thoracic aortic mural thrombus.
Figure 2
Figure 2
Angiogram demonstrating popliteal artery embolism.
See this image and copyright information in PMC

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