TY - JOUR
T1 - Isolated Thoracic Aortic Takayasu Arteritis Presenting as Presumed Mobile Aortic Thrombus
AU - Mirza, Aleem K.
AU - Saran, Nishant
AU - Warrington, Kenneth J.
AU - Pochettino, Alberto
AU - Shuja, Fahad
N1 - Publisher Copyright:
© The Author(s) 2019.
PY - 2019/4/1
Y1 - 2019/4/1
N2 - Isolated aortic mural thrombus (AMT) is an infrequent occurrence in the setting of an otherwise normal aorta and is a similarly rare occurrence in Takayasu arteritis (TAK). As such, consensus on optimal treatment strategy does not exist, however, invariably necessitates anticoagulation. We report a case of a 21-year-old female who presented with acute chest pain with an isolated descending thoracic AMT on imaging. Diagnosis was elusive after an exhaustive, multidisciplinary evaluation including structural, hypercoagulable, and rheumatologic etiologies. After hypertension control and anticoagulation, she was asymptomatic without embolic sequelae. We proceeded with thoracic aortic resection with interposition reconstruction for the dual function of treatment and definitive diagnosis revealing TAK. This demonstrates a curious presentation of TAK with an equally atypical complication managed with surgery.
AB - Isolated aortic mural thrombus (AMT) is an infrequent occurrence in the setting of an otherwise normal aorta and is a similarly rare occurrence in Takayasu arteritis (TAK). As such, consensus on optimal treatment strategy does not exist, however, invariably necessitates anticoagulation. We report a case of a 21-year-old female who presented with acute chest pain with an isolated descending thoracic AMT on imaging. Diagnosis was elusive after an exhaustive, multidisciplinary evaluation including structural, hypercoagulable, and rheumatologic etiologies. After hypertension control and anticoagulation, she was asymptomatic without embolic sequelae. We proceeded with thoracic aortic resection with interposition reconstruction for the dual function of treatment and definitive diagnosis revealing TAK. This demonstrates a curious presentation of TAK with an equally atypical complication managed with surgery.
KW - Takayasu arteritis
KW - aortic mural thrombus
KW - interposition reconstruction
UR - http://www.scopus.com/inward/record.url?scp=85059673133&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85059673133&partnerID=8YFLogxK
U2 - 10.1177/1538574418823389
DO - 10.1177/1538574418823389
M3 - Article
C2 - 30606091
AN - SCOPUS:85059673133
SN - 1538-5744
VL - 53
SP - 267
EP - 270
JO - Vascular and Endovascular Surgery
JF - Vascular and Endovascular Surgery
IS - 3
ER -