Endovascular Treatment of Mobile Thoracic Aortic Thrombi: Case Report

Atherosclerotic lesions of the thoracic aorta and particularly mobile mural thrombi constitute a rare but important source of cerebral and peripheral emboli. Conventional treatment of such pathologies includes systematic anticoagulation therapy and surgical thromboendarterectomy, with potential segmental replacement of the thoracic aorta using synthetic grafts. We report the successful covering of a mobile thoracic aortic thrombus using a commercially available endograft (Endofit) in a patient presented with multiple peripheral emboli. The endovascular treatment of such lesions constitutes a new alternative treatment particularly effective and safe that decreases considerably both operational time and surgical risk.