Work

Successful surgical management of a giant floating aortic thrombus causing acute upper limb ischaemia: a case report

Year: 2026

Type: article

Abstract: Background: Aortic thrombi are rare and pose clinical challenges as they often remain undetected until embolic complications occur. Case summary: We present the case of a 43-year-old male with acute limb ischaemia, revealed to be due to a large mobile thrombus (measuring 53 × 13 mm) extending from the ascending to descending aorta. The obstruction in the peripheral arteries was managed through mechanical thrombectomy, while the intra-aortic thrombus required surgical intervention. Following these procedures, the patient was put on Apixaban, and no signs of recurrence appeared in subsequent follow-up assessments. Discussion: Timely diagnosis of aortic thrombi is essential to prevent embolic events. Large floating thrombi are rare in healthy young individuals with no pre-existing conditions, especially when causing only upper limb ischaemia. Prompt surgical intervention is recommended to treat and prevent recurrence. Conclusion: While various strategies exist for dealing with large floating thrombi, prioritizing surgical intervention is essential to prevent potential future recurrences.

Source: European Heart Journal - Case Reports

DOI: 10.1093/ehjcr/ytag270

Authors: Mani Moayerifar, Behrad Eftekhari, Anita Khalili, Serban Stoica, Mahboobeh Gholipour

Institutions: Guilan University of Medical Sciences, Imam Khomeini Hospital, Tehran University of Medical Sciences, University of Bristol

Language: English

Topic: Aortic Thrombus and Embolism

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $815