Vascular sequelae of aortic arch thrombo-emboli

Vascular Medicine; Vascular Surgery
Case Report
10.1102/1470-5206.2008.0016
8
52-56
Vascular sequelae of aortic arch thrombo-emboli

An 88-year-old woman presented with thrombo-embolic disease of the left upper extremity manifested by the classical signs of pain, paresthesias, pallor, pulselessness, and poikilothermia. She was found to have a thrombo-embolus in the left distal brachial artery as well as two large thrombi in the aortic arch and proximal descending aorta. Initial surgical intervention included a left upper extremity embolectomy with subsequent restoration of blood flow to the left arm. Due to the patient's advanced age, comorbidities, and availability of medical therapy, it was decided to treat her aortic thrombi through anti-coagulation with coumadin.

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Editor-in-Chief

Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK

Editors

Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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