Mobile thrombus of the abdominal aorta: a narrative review
Trombo móvel de aorta abdominal: uma revisão narrativa
Ana Paula Donadello Martins; Leonardo Henrique Bertolucci; Rodrigo Batista Warpechowski; Arthur Angonese; Mariana Saadi de Azevedo; Camilla Rodrigues; Alfredo Augusto Schulte; Silvio Cesar Perini
Abstract
Keywords
Resumo
Resumo: O trombo mural aórtico primário é definido como um trombo aderido à parede aórtica na ausência de doença aterosclerótica e/ou aneurismática ou de fonte cardíaca de êmbolo. Trata-se de uma doença rara, porém causadora de alta morbimortalidade, e não há consenso acerca do seu tratamento. Este estudo objetivou revisar as possibilidades na presença de componente móvel. A terapia endovascular e a cirurgia aberta parecem ser as melhores opções, sendo a abordagem endovascular o tratamento de escolha para pacientes com anatomia favorável e a cirurgia aberta o tratamento de escolha para pacientes com anatomia desfavorável. No entanto, a anticoagulação sistêmica apresenta-se como método não invasivo para pacientes com alto risco cirúrgico e como possibilidade terapêutica na falha ou indisponibilidade de abordagem cirúrgica.
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Referências
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Submetido em:
24/02/2022
Aceito em:
27/06/2022
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