Successful Thrombolysis of an Aortic-Arch Thrombus in a Patient after Mesenteric Embolism
To the Editor: Atherosclerotic plaques and thrombi in the aorta are a common finding at autopsy, 1 but can also be detected during life by transesophageal echocardiography. 2 3 4 5 A significant association has been described between arterial embolism and the presence of atheromatous disease of the...
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| Veröffentlicht in: | The New England journal of medicine 1992-08, Vol.327 (7), p.500-501 |
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| container_title | The New England journal of medicine |
| container_volume | 327 |
| creator | Hausmann, D Gulba, D Bargheer, K Niedermeyer, J Comess, K A Daniel, W G |
| description | To the Editor:
Atherosclerotic plaques and thrombi in the aorta are a common finding at autopsy,
1
but can also be detected during life by transesophageal echocardiography.
2
3
4
5
A significant association has been described between arterial embolism and the presence of atheromatous disease of the aorta.
1
,
2
,
5
Appropriate treatment of patients with arterial embolism and documented thrombi in the aorta has not been defined, however. In a recently reported case involving repeated embolic events, successful aortic endarterectomy was performed.
3
We report here on a patient with peripheral arterial embolism and a large thrombotic mass in the aorta that was successfully treated by thrombolysis. . . . |
| doi_str_mv | 10.1056/NEJM199208133270717 |
| format | Article |
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Atherosclerotic plaques and thrombi in the aorta are a common finding at autopsy,
1
but can also be detected during life by transesophageal echocardiography.
2
3
4
5
A significant association has been described between arterial embolism and the presence of atheromatous disease of the aorta.
1
,
2
,
5
Appropriate treatment of patients with arterial embolism and documented thrombi in the aorta has not been defined, however. In a recently reported case involving repeated embolic events, successful aortic endarterectomy was performed.
3
We report here on a patient with peripheral arterial embolism and a large thrombotic mass in the aorta that was successfully treated by thrombolysis. . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM199208133270717</identifier><identifier>PMID: 1625748</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Aorta, Thoracic ; Aortic Diseases - drug therapy ; Echocardiography ; Embolism - complications ; Female ; Humans ; Mesenteric Arteries ; Mesenteric Vascular Occlusion - complications ; Middle Aged ; Recombinant Proteins - administration & dosage ; Thrombolytic Therapy ; Thrombosis - drug therapy ; Tissue Plasminogen Activator - administration & dosage</subject><ispartof>The New England journal of medicine, 1992-08, Vol.327 (7), p.500-501</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-ee9231e87f35fbcfc6bffbe59e03988e691234b8e0460fb08acf9200a5db985c3</citedby><cites>FETCH-LOGICAL-c371t-ee9231e87f35fbcfc6bffbe59e03988e691234b8e0460fb08acf9200a5db985c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM199208133270717$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJM199208133270717$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,776,780,2746,2747,26080,27901,27902,52357,54039</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1625748$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hausmann, D</creatorcontrib><creatorcontrib>Gulba, D</creatorcontrib><creatorcontrib>Bargheer, K</creatorcontrib><creatorcontrib>Niedermeyer, J</creatorcontrib><creatorcontrib>Comess, K A</creatorcontrib><creatorcontrib>Daniel, W G</creatorcontrib><title>Successful Thrombolysis of an Aortic-Arch Thrombus in a Patient after Mesenteric Embolism</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>To the Editor:
Atherosclerotic plaques and thrombi in the aorta are a common finding at autopsy,
1
but can also be detected during life by transesophageal echocardiography.
2
3
4
5
A significant association has been described between arterial embolism and the presence of atheromatous disease of the aorta.
1
,
2
,
5
Appropriate treatment of patients with arterial embolism and documented thrombi in the aorta has not been defined, however. In a recently reported case involving repeated embolic events, successful aortic endarterectomy was performed.
3
We report here on a patient with peripheral arterial embolism and a large thrombotic mass in the aorta that was successfully treated by thrombolysis. . . .</description><subject>Aorta, Thoracic</subject><subject>Aortic Diseases - drug therapy</subject><subject>Echocardiography</subject><subject>Embolism - complications</subject><subject>Female</subject><subject>Humans</subject><subject>Mesenteric Arteries</subject><subject>Mesenteric Vascular Occlusion - complications</subject><subject>Middle Aged</subject><subject>Recombinant Proteins - administration & dosage</subject><subject>Thrombolytic Therapy</subject><subject>Thrombosis - drug therapy</subject><subject>Tissue Plasminogen Activator - administration & dosage</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMotVZ_gQi5y2qy2WySYyn1i1YF68HTkqQTmtLslmT30H_vlhW8iHMZhpfngXkRuqbkjhJe3r_OX5ZUqZxIylguiKDiBI0pZywrClKeojEhucwKodg5ukhpS_qhhRqhES1zLgo5Rl8fnbWQkut2eLWJTTDN7pB8wo3DusbTJrbeZtNoNz9xl7CvscbvuvVQt1i7FiJeQuoPiN7i-VHhU7hEZ07vElz97An6fJivZk_Z4u3xeTZdZJYJ2mYAKmcUpHCMO2OdLY1zBrgCwpSUUCqas8JIIEVJnCFSW9e_TDRfGyW5ZRPEBq-NTUoRXLWPPuh4qCipjj1Vf_TUUzcDte9MgPUvMxTT57dDHkKqatiGf23fsadwQg</recordid><startdate>19920813</startdate><enddate>19920813</enddate><creator>Hausmann, D</creator><creator>Gulba, D</creator><creator>Bargheer, K</creator><creator>Niedermeyer, J</creator><creator>Comess, K A</creator><creator>Daniel, W G</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>19920813</creationdate><title>Successful Thrombolysis of an Aortic-Arch Thrombus in a Patient after Mesenteric Embolism</title><author>Hausmann, D ; Gulba, D ; Bargheer, K ; Niedermeyer, J ; Comess, K A ; Daniel, W G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-ee9231e87f35fbcfc6bffbe59e03988e691234b8e0460fb08acf9200a5db985c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Aorta, Thoracic</topic><topic>Aortic Diseases - drug therapy</topic><topic>Echocardiography</topic><topic>Embolism - complications</topic><topic>Female</topic><topic>Humans</topic><topic>Mesenteric Arteries</topic><topic>Mesenteric Vascular Occlusion - complications</topic><topic>Middle Aged</topic><topic>Recombinant Proteins - administration & dosage</topic><topic>Thrombolytic Therapy</topic><topic>Thrombosis - drug therapy</topic><topic>Tissue Plasminogen Activator - administration & dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hausmann, D</creatorcontrib><creatorcontrib>Gulba, D</creatorcontrib><creatorcontrib>Bargheer, K</creatorcontrib><creatorcontrib>Niedermeyer, J</creatorcontrib><creatorcontrib>Comess, K A</creatorcontrib><creatorcontrib>Daniel, W G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hausmann, D</au><au>Gulba, D</au><au>Bargheer, K</au><au>Niedermeyer, J</au><au>Comess, K A</au><au>Daniel, W G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful Thrombolysis of an Aortic-Arch Thrombus in a Patient after Mesenteric Embolism</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>1992-08-13</date><risdate>1992</risdate><volume>327</volume><issue>7</issue><spage>500</spage><epage>501</epage><pages>500-501</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><abstract>To the Editor:
Atherosclerotic plaques and thrombi in the aorta are a common finding at autopsy,
1
but can also be detected during life by transesophageal echocardiography.
2
3
4
5
A significant association has been described between arterial embolism and the presence of atheromatous disease of the aorta.
1
,
2
,
5
Appropriate treatment of patients with arterial embolism and documented thrombi in the aorta has not been defined, however. In a recently reported case involving repeated embolic events, successful aortic endarterectomy was performed.
3
We report here on a patient with peripheral arterial embolism and a large thrombotic mass in the aorta that was successfully treated by thrombolysis. . . .</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>1625748</pmid><doi>10.1056/NEJM199208133270717</doi><tpages>2</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0028-4793 |
| ispartof | The New England journal of medicine, 1992-08, Vol.327 (7), p.500-501 |
| issn | 0028-4793 1533-4406 |
| language | eng |
| recordid | cdi_crossref_primary_10_1056_NEJM199208133270717 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; New England Journal of Medicine |
| subjects | Aorta, Thoracic Aortic Diseases - drug therapy Echocardiography Embolism - complications Female Humans Mesenteric Arteries Mesenteric Vascular Occlusion - complications Middle Aged Recombinant Proteins - administration & dosage Thrombolytic Therapy Thrombosis - drug therapy Tissue Plasminogen Activator - administration & dosage |
| title | Successful Thrombolysis of an Aortic-Arch Thrombus in a Patient after Mesenteric Embolism |
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