Endovascular Treatment of Symptomatic Thrombus of the Descending Thoracic Aorta

Thoracic aorta mural thrombosis (TAMT) is uncommon pathology with potentially catastrophic complications due to recurrent spontaneous distal embolization. Best treatment, medical or surgical, is still under debate especially in high-risk patients. Endovascular approach by means of thoracic endoprosthesis seems to be a feasible and minimally invasive treatment option. We report a successful treatment of symptomatic TAMT using a thoracic aortic stent graft in a high-risk patient for open repair and contraindication to systemic anticoagulation.