Medical Management of a Large Aortic Thrombus in a Young Woman With Essential Thrombocythemia Ming Fang, MD, Samina Agha, MD, Leslie Lockridge, MD, Ronald.

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Presentation transcript:

Medical Management of a Large Aortic Thrombus in a Young Woman With Essential Thrombocythemia Ming Fang, MD, Samina Agha, MD, Leslie Lockridge, MD, Ronald Lee, MD, Joseph P. Cleary, MD, Eric M. Mazur, MD Mayo Clinic Proceedings Volume 76, Issue 4, Pages 427-431 (April 2001) DOI: 10.4065/76.4.427 Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Left, Dynamic, enhanced, axial, helical computed tomographic image demonstrates intraluminal aortic filling defect consistent with thrombus. Wedge-shaped decreased splenic perfusion is consistent with embolic infarct. Right, Follow-up image of the corresponding level at 3½ weeks shows no evidence of an intraluminal aortic lesion. The splenic infarct has evolved. Mayo Clinic Proceedings 2001 76, 427-431DOI: (10.4065/76.4.427) Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Left, Computed tomographic scan of sagittal reformation of the aorta at initial presentation shows the pedunculated intraluminal clot adherent to the wall of the proximal abdominal aorta (arrow). Right, Follow-up scan indicates resolution of the intraluminal aortic lesion. Mayo Clinic Proceedings 2001 76, 427-431DOI: (10.4065/76.4.427) Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 3 Serial platelet counts after treatment with hydroxyurea. The graph illustrates the serial response of the patient's platelet counts with varying hydroxyurea dosages. Mayo Clinic Proceedings 2001 76, 427-431DOI: (10.4065/76.4.427) Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions