Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Acute Abdominal Mobile Aortic Thrombus Post Chemotherapy: Two Cases Reports

항암화학요법 후 복부 대동맥에 발생한 급성 이동 혈전: 2예 보고

  • Kim, Woo-Chul (Department of Radiology, Inha University School of Medicine) ;
  • Kim, Jun-Ho (Department of Radiology, Inha University School of Medicine) ;
  • Lee, Kyung-Hee (Department of Radiology, Inha University School of Medicine) ;
  • Cho, Soon-Gu (Department of Radiology, Inha University School of Medicine) ;
  • Jeon, Yong-Sun (Department of Radiology, Inha University School of Medicine)
  • 김우철 (인하대학교 의과대학 영상의학과학교실) ;
  • 김준호 (인하대학교 의과대학 영상의학과학교실) ;
  • 이경희 (인하대학교 의과대학 영상의학과학교실) ;
  • 조순구 (인하대학교 의과대학 영상의학과학교실) ;
  • 전용선 (인하대학교 의과대학 영상의학과학교실)
  • Published : 2011.08.01
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Abstract

An acute abdominal mobile aortic thrombus is a very unusual finding, and this is a potential source of arterial embolism. Mobile aortic thrombus mostly occurs in a diffuse atherosclerotic and aneurysmal aorta. Chemotherapy agents have been documented as a possible rare cause of acute arterial thrombus. We report acute abdominal mobile aortic thrombus post-chemotherapy for pancreatic and stomach cancer.

급성 복부 대동맥 이동 혈전은 드문 소견으로 동맥 색전의 원인이 될 수 있다. 대개는 심한 동맥경화나 동맥류가 있는 경우에 발생하게 되며, 매우 드물게 항암화학요법 후의 부작용으로 발생하였다는 보고가 있다. 저자들은 췌장암과 위암 치료를 위해 항암화학요법을 받은 환자들에서 발생한 급성 복부 대동맥 이동 혈전을 2예 경험하여 이를 보고하고자 한다.

Keywords

References

  1. Laperche T, Laurian C, Roudaut R, Steg PG. Mobile thromboses of the aortic arch without aortic debris. A transesophageal echocardiographic finding associated with unexplained arterial embolism. The Filiale Echocardiographie de la Societe Francaise de Cardiologie. Circulation 1997;96:288-294 https://doi.org/10.1161/01.CIR.96.1.288
  2. Cool RM, Herrington JD, Wong L. Recurrent peripheral arterial thrombosis induced by cisplatin and etoposide. Pharmacotherapy 2002;22:1200-1204 https://doi.org/10.1592/phco.22.13.1200.33524
  3. Tunick PA, Lackner H, Katz ES, Culliford AT, Giangola G, Kronzon I. Multiple emboli from a large aortic arch thrombus in a patient with thrombotic diathesis. Am Heart J 1992;124:239-241
  4. Poiree S, Monnier-Cholley L, Tubiana JM, Arrive L. Acute abdominal aortic thrombosis in cancer patients. Abdom Imaging 2004;29:511-513
  5. Kalangos A, Baldovinos A, Vuille C, Montessuit M, Faidutti B. Floating thrombus in the ascending aorta: a rare cause of peripheral emboli. J Vasc Surg 1997;26:150-154 https://doi.org/10.1016/S0741-5214(97)70161-7
  6. Choukroun EM, Labrousse LM, Madonna FP, Deville C. Mobile thrombus of the thoracic aorta: diagnosis and treatment in 9 cases. Ann Vasc Surg 2002;16:714-722 https://doi.org/10.1007/s10016-001-0314-2
  7. Zhang WW, Abou-Zamzam AM, Hashisho M, Killeen JD, Bianchi C, Teruya TH. Staged endovascular stent grafts for concurrent mobile/ulcerated thrombi of thoracic and abdominal aorta causing recurrent spontaneous distal embolization. J Vasc Surg 2008;47:193-196 https://doi.org/10.1016/j.jvs.2007.07.050
  8. Licciardello JT, Moake JL, Rudy CK, Karp DD, Hong WK. Elevated plasma von Willebrand factor levels and arterial occlusive complications associated with cisplatin-based chemotherapy. Oncology 1985;42:296-300 https://doi.org/10.1159/000226049
  9. Barcelo R, Lopez-Vivanco G, Mane JM, Rubio I, Munoz A, Fernandez R. Distal ischemic changes related to combination chemotherapy with cisplatin and gemcitabine: description of four cases. Ann Oncol 2000;11:1191-1194 https://doi.org/10.1023/A:1008368019203
  10. Lozano P, Gomez FT, Julia J, M-Rimbau E, Garcia F. Recurrent embolism caused by floating thrombus in the thoracic aorta. Ann Vasc Surg 1998;12:609-611 https://doi.org/10.1007/s100169900209