Evidence map›Paper›PMID 31355013›Full record

ArticleCase reports in cardiology2019

Peripherally Embolizing Aortic Thrombus: The Work-Up, Management, and Outcome of Primary Aortic Thrombus.

Ramy Mando, Robert Gemayel, Ashish Chaddha, Julian J Barbat, Elvis Cami

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. The Challenge of Managing a Primary Aortic Mural Thrombus: Outcomes and Technical Considerations.The International journal of angiology : official publication of the International College of Angiology, Inc · 2024
    Article
  3. Lower Limb Ischemia as Acute Onset of Primary Aortic Occlusion: CTA Imaging and Management.International journal of environmental research and public health · 2023
    Article
  4. Article
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Ramy MandoDepartment of Internal Medicine, Beaumont Health System, Royal Oak, MI, USA.ORCID https://orcid.org/0000-0002-2727-4648
Robert GemayelMichigan State University College of Osteopathic Medicine, Lansing, MI, USA.
Ashish ChaddhaDepartment of Cardiovascular Medicine, Beaumont Health System, Royal Oak, MI, USA.
Julian J BarbatDepartment of Cardiovascular Medicine, Beaumont Health System, Royal Oak, MI, USA.
Elvis CamiDepartment of Cardiovascular Medicine, Beaumont Health System, Royal Oak, MI, USA.
Beaumont Health · USMichigan State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary aortic thrombus is an uncommon entity and not frequently reported in the literature. Herein, we discuss the presentation and management of a patient with a primary thoracic mural thrombus. CASE SUMMARY: A 46-year-old female with past medical history of tobacco dependence presented for low-grade fever and sudden onset, severe right upper quadrant abdominal pain with associated nausea and vomiting. Computed tomography (CT) revealed an intraluminal polypoid filling defect arising from the isthmus of the aorta projecting into the proximal descending aorta and findings consistent with infarction of the spleen and right kidney. Infectious, autoimmune, hematologic, and oncologic work-up were all unyielding. The patient was started on heparin and later transitioned to apixaban 5 mg twice a day and 81 mg of aspirin daily. She was also counseled regarding smoking cessation. Two months follow-up CT revealed resolution of the thrombus. Patient had no further thromboembolic complications. DISCUSSION: We present a unique case of primary aortic thrombus. To our knowledge, this is the first reported case managed successfully with a NOAC. This diagnosis is one of exclusion and through work-up should be completed. Our aim is to raise awareness of this condition and successful management with apixaban in low-risk patients.

Identifiers

PMID31355013
PMCPMC6636506
OpenAlexW2954729947

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.