J Korean Surg Soc.  2011 Dec;81(Suppl 1):S78-S81. 10.4174/jkss.2011.81.Suppl1.S78.

Successful hybrid operation of an acute mobile thrombus in the abdominal aorta induced by chemotherapy

• Kim WC
• Hong KC
• Kim JY
• Cho SG
• Jeon YS

• KMID: 1445792
• DOI: http://doi.org/10.4174/jkss.2011.81.Suppl1.S78

Abstract

Acute mobile thrombus of the abdominal aorta after chemotherapy is a very unusual finding, which can be a potential source of arterial embolism. We report here on a case of an acute mobile aortic thrombus with renal infarction. We successfully treated the patient with hybrid operation-open surgical and endovascular approach. Our case shows that hybrid treatment using wire-directed balloon catheter thrombectomy is a feasible, minimally-invasive treatment for a mobile aortic thrombus.

Keyword

Abdominal; Angioplasty; Aorta; Thrombectomy; Thrombosis

MeSH Terms

Angioplasty
Aorta
Aorta, Abdominal
Catheters
Chimera
Embolism
Humans
Infarction
Thrombectomy
Thrombosis

Figure

• 

  Fig. 1 Abdominal computed tomography shows intraluminal aortic thrombus (arrow) with infarction of the right kidney.

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  Fig. 2 Angiogram shows occlusion balloons in the left iliac artery (thin arrow) and in the left renal artery (thick arrow). Abdominal aortic thrombus is shown as by intraluminal filling defect (open arrow).

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  Fig. 3 After balloon catheter thrombectomy, angiogram shows successful removal of the aortic thrombus.

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  Fig. 4 Follow-up computed tomography on 7 days after balloon catheter thrombectomy, shows complete resolution of the aortic thrombus. Right renal artery is partially recannalized.

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