Floating aortic arch thrombus involving the left common carotid artery complicated with ischemic stroke associated with cocaine use.
Adult
Aorta, Thoracic
Arterial Occlusive Diseases
Brain Ischemia
/ complications
Carotid Artery Diseases
/ complications
Carotid Artery, Common
Cocaine
/ adverse effects
Humans
Infarction
/ complications
Ischemic Stroke
Male
Stroke
/ complications
Thrombectomy
/ adverse effects
Thrombosis
/ complications
Treatment Outcome
Aorta
Cocaine use
Floating thrombus
Ischemic stroke
Journal
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
ISSN: 1590-3478
Titre abrégé: Neurol Sci
Pays: Italy
ID NLM: 100959175
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
received:
20
04
2022
accepted:
16
05
2022
pubmed:
22
5
2022
medline:
20
8
2022
entrez:
21
5
2022
Statut:
ppublish
Résumé
Floating aortic thrombi (FLOAT) are rare, with very few cases attributed to cocaine use. We report a new case of FLOAT involving the left common carotid artery due to cocaine use, for the first time, complicated with acute ischemic stroke. We present in detail our case report, and then, a literature search in PubMed and Scopus was performed up to March 20, 2022, to review the reported cases of aortic thrombus associated with cocaine use. A 39-year-old man with a history of smoking and daily cocaine use was admitted to our stroke unit for acute left-hemispheric symptoms due to carotid-Sylvian occlusion. CT angiography of the supra-aortic trunks showed FLOAT involving the left common carotid artery. The thrombus was removed successfully by endovascular thrombectomy with recanalization of carotid-Sylvian occlusion. Our literature search yielded seven reported cases of aortic thrombus due to cocaine use revealed by lower limb ischemia (3 patients), renal infarction (1 patient), abdominal pain (1 patient), bowel ischemia (1 patient), and lower limb ischemia with renal infarction (1 patient). Aortic thrombus should be suspected in patients without overt cardiovascular risk factors but with a recent history of cocaine use who presents with acute ischemic stroke.
Sections du résumé
BACKGROUND
BACKGROUND
Floating aortic thrombi (FLOAT) are rare, with very few cases attributed to cocaine use. We report a new case of FLOAT involving the left common carotid artery due to cocaine use, for the first time, complicated with acute ischemic stroke.
METHODS
METHODS
We present in detail our case report, and then, a literature search in PubMed and Scopus was performed up to March 20, 2022, to review the reported cases of aortic thrombus associated with cocaine use.
RESULTS
RESULTS
A 39-year-old man with a history of smoking and daily cocaine use was admitted to our stroke unit for acute left-hemispheric symptoms due to carotid-Sylvian occlusion. CT angiography of the supra-aortic trunks showed FLOAT involving the left common carotid artery. The thrombus was removed successfully by endovascular thrombectomy with recanalization of carotid-Sylvian occlusion. Our literature search yielded seven reported cases of aortic thrombus due to cocaine use revealed by lower limb ischemia (3 patients), renal infarction (1 patient), abdominal pain (1 patient), bowel ischemia (1 patient), and lower limb ischemia with renal infarction (1 patient).
CONCLUSION
CONCLUSIONS
Aortic thrombus should be suspected in patients without overt cardiovascular risk factors but with a recent history of cocaine use who presents with acute ischemic stroke.
Identifiants
pubmed: 35596827
doi: 10.1007/s10072-022-06156-y
pii: 10.1007/s10072-022-06156-y
pmc: PMC9123918
doi:
Substances chimiques
Cocaine
I5Y540LHVR
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
5629-5632Informations de copyright
© 2022. Fondazione Società Italiana di Neurologia.
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