How is aortic mural thrombus treated?

How is aortic mural thrombus treated?

Conclusion: Most patients in whom AMT develops in the absence of underlying aortic disease have underlying coagulation disorders. Anticoagulation therapy alone allows resolution of AMT, with surgical intervention reserved for management of end organ ischemia from thrombus embolization.

Does mural thrombus need treatment?

Background: Thoracic aortic mural thrombus (TAMT) of the descending aorta is rare but can result in dramatic embolic events. Early treatment is therefore crucial; however, there is not a consensus on ideal initial treatment.

Is mural thrombus normal?

Mural thrombus occurrence in a normal or minimally atherosclerotic vessel is a rare entity in the absence of a hypercoagulative state or inflammatory, infectious, or familial aortic ailments. Mural thrombi can be seen in large vessels such as the heart and aorta and can restrict blood flow.

What is aortic mural thrombus?

Aortic mural thrombus is usually associated with aneurysmal disease, dissection, or severe atherosclerosis of the thoracic or abdominal aorta. Aortic mural thrombus in a nonaneurysmal minimally atherosclerotic or normal aorta is a rare clinical entity and an unusual cause of peripheral arterial embolization.

What are the symptoms of arterial bleeding?


  • Cold arm or leg.
  • Decreased or no pulse in an arm or leg.
  • Lack of movement in the arm or leg.
  • Pain in the affected area.
  • Numbness and tingling in the arm or leg.
  • Pale color of the arm or leg (pallor)
  • Weakness of an arm or leg.

What is thoracic aortic thrombosis?

1, 2 Thoracic aortic mural thrombus (TAMT), characterized by sessile or pedunculated aortic thrombi that develop in the absence of pre-existing aortic disease, is an uncommon pathologic process with potentially devastating complications.

What does laminated thrombus mean?

a thrombus formed gradually by clotting of the blood in successive layers.

What causes aortic thrombus?

A mural aortic thrombus may form with aortic dissection, aortic aneurysm, malignancy, and blood disorders and is rarely seen in a healthy subject. Other overlooked risk factors include patients on chemotherapy, smokers, patients with atherosclerosis, and iron deficiency.

Can thrombosis go away?

It takes about 3 to 6 months for a blood clot to go away. During this time, there are things you can do to relieve symptoms. Elevate your leg to reduce swelling.

What causes a blood clot in the aorta?

Most cases of arterial thrombosis are caused when an artery is damaged by atherosclerosis. Fatty deposits build up on the walls of the arteries and cause them to harden and narrow. The risk factors for a blood clot in an artery include: eating a high-fat diet.

How is mural thrombus treated in an aortic aneurysm?

If there is an (aortic) aneurysm, the clot is usually removed or excluded as part of aortic aneurysm treatment. If the aneurysm is not at a size that requires treatment, mural thrombus will only be addressed if symptoms occur. The decision is harder when there is no aneurysm. Of course, patients with symptoms will receive treatment.

What are the treatment options for mural thrombus?

Unfortunately, there is no robust evidence to guide treatment. Generally, there are two main options: Medical therapy (e.g. antiplatelet agents or anticoagulation) and intervention (e.g. endovascular or surgical). If there is an (aortic) aneurysm, the clot is usually removed or excluded as part of aortic aneurysm treatment.

Can a mural thrombus cause a heart attack?

Now, a mural thrombus is the thrombus linked to the wall of the blood vessel which can occur in large vessels like the aorta or the heart and prevent usual blood flow, partially. Such blood clots in the heart can increase the risk of strokes, pulmonary embolism, and heart attacks.

Can a mural thrombus be diagnosed as an incidental finding?

Mural thrombus may be symptomatic or may be diagnosed as an incidental finding. Incidentally found clot is most often diagnosed on imaging studies performed for other reasons. Computed tomography is the most common imaging to show these findings (as in the images above).

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