A floating thrombus detected by CT in the descending aorta in an obese patient: A possible genetic-environmental interaction.
Computed tomography angiography
Floating aortic thrombus
Obesity
Journal
Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
04
11
2020
revised:
21
11
2020
accepted:
22
11
2020
entrez:
14
12
2020
pubmed:
15
12
2020
medline:
15
12
2020
Statut:
epublish
Résumé
A floating thrombus in a nonaneurysmal, nonatherosclerotic aorta is a rare finding and may represent an unusual source of systemic embolism. Less than 130 cases have been reported in the literature. We describe a rare case of aortic floating thrombus in the descending aorta and the proximal portion of the suprarenal abdominal aorta detected by computed tomography angiography in a 50-year-old woman who was admitted to our emergency room with epigastric abdominal pain. The computed tomography angiography also showed some defects in the subsegmentary pulmonary artery branches along with a splenic infarction with splenic artery and vein thrombi, and a left renal thrombus. On genetic testing the patient resulted heterozygous for the polymorphism for 5,10-methylentetrahydrofolate reductase C677T polymorphism and also with homozygous deletion alleles of the angiotensin-converting enzyme gene. The aortic floating thrombus resolved during anticoagulant therapy after 4 weeks.
Identifiants
pubmed: 33312322
doi: 10.1016/j.radcr.2020.11.041
pii: S1930-0433(20)30617-8
pmc: PMC7721593
doi:
Types de publication
Case Reports
Langues
eng
Pagination
348-352Informations de copyright
© 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington.
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