A Case Report of Multiple Embolism Caused by Thoracic Aorta Mural Thrombus (TAMT): Discussion of Surgical Intervention to TAMT

Abstract

Thoracic aorta mural thrombus (TAMT) in proximal descending aorta caused multiple embolisms including multiple brain infarction and superior mesenteric artery embolism (SAME), concomitantly. An open stent graft implantation (OS) was performed successfully, to avoid recurrent embolism 3 weeks after the onset. Considering a surgical intervention to TAMT at aortic arch or around, Thoracic endovascular aortic repair (TEVAR) is thought to be the most favorable choice, currently, but to have a potential risk of a procedural embolism. We think that OS may be a choice in the case of large thrombus at aortic arch or around.