RESUMO
The floating mural thrombus of abdominal aorta is a rare and serious pathology detected as cause of peripheral and visceral embolism. Isolated aortic mural thrombosis is an unusual pathology occurring in an apparently normal aorta. A thorough search of embolic source must be initiated. Therapeutic management is based on systemic anticoagulation with the use of surgical approach in some cases.
Assuntos
Doenças da Aorta/complicações , Heparina , Isquemia/etiologia , Extremidade Inferior/irrigação sanguínea , Neoplasias Pulmonares/complicações , Carcinoma de Pequenas Células do Pulmão/complicações , Trombose/complicações , Anticoagulantes/uso terapêutico , Doenças da Aorta/diagnóstico por imagem , Doenças da Aorta/terapia , Heparina/uso terapêutico , Humanos , Isquemia/terapia , Masculino , Pessoa de Meia-Idade , Inibidores da Agregação Plaquetária/uso terapêutico , Trombectomia/métodos , Trombose/diagnóstico por imagem , Trombose/terapiaRESUMO
An atrial septal aneurysm (ASA) is a rare but well recognized entity characterized by saccular deformity of the atrial septum that bulges into the right or left atrium. Diagnosis can be established using transthoracic and transesophageal echocardiography. Although this abnormality is considered clinically benign, it has been independently associated with systemic or cerebral embolism. We present a unique case of isolated atrial septal aneurysm complicated by digital ischemia in a 51 years old woman.