Endovascular removal of a large free-floating thrombus of the descending thoracic aorta using the AngioVac system

William R Wilson; Kevin H McCusker; Syed M Peeran; Peter J Dourdoufis

doi:10.1016/j.jvscit.2024.101460

Endovascular removal of a large free-floating thrombus of the descending thoracic aorta using the AngioVac system

J Vasc Surg Cases Innov Tech. 2024 Feb 24;10(3):101460. doi: 10.1016/j.jvscit.2024.101460. eCollection 2024 Jun.

Authors

William R Wilson¹, Kevin H McCusker¹, Syed M Peeran¹, Peter J Dourdoufis²

Affiliations

¹ Department of Cardiothoracic and Vascular Surgery, Portsmouth Regional Hospital, Portsmouth, NH.
² Department of Cardiology, Portsmouth Regional Hospital, Portsmouth, NH.

Abstract

Free-floating aortic mural thrombus in the minimally diseased or nonaneurysmal aorta is a rare, clinically significant source of peripheral embolism. We describe a 41-year-old woman with a history of left brachial thromboembolectomy who presented atypical chest pain. Computed tomography angiography and transesophageal echocardiography revealed a 14.0 cm × 1.4 cm mobile mass in the proximal descending thoracic aorta. The thrombus was removed through a minimally invasive catheter-based approach using the AngioVac system.

Keywords: AngioVac system; Free-floating aortic thrombus; NESVS 2023 Annual Meeting.

Publication types

Case Reports