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Non-diseased aortic mural thrombus presenting with acute limb ischaemia
  1. Ali Khalil1,
  2. John J Kanitra2 and
  3. David Lorelli2
  1. 1School of Medicine, St George's University, St George's, Grenada
  2. 2Department of Surgery, Ascension St John Hospital, Detroit, Michigan, USA
  1. Correspondence to Dr John J Kanitra; kanitraj{at}


We present a case of a thoracic aortic mural thrombus (AMT) in a non-atherosclerotic and non-aneurysmal aorta that presented with acute limb ischaemia. AMT in a non-diseased aorta without an underlying hypercoagulable disorder is rare. The AMT in our patient was managed with anticoagulation, which resolved on a 5-month follow-up CT scan. This provided us an opportunity to discuss the successful medical management of an AMT, to review the literature on the management of AMT and to add to the literature on a rare presentation of an AMT.

  • Cardiovascular system
  • Haematology (drugs and medicines)
  • Vascular surgery

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  • Contributors Research idea and study design: AK and JJK. Supervision and mentorship: DL. Each author contributed important intellectual content during manuscript drafting or revision and agreed to be personally accountable for the individual’s own contributions and to ensure that questions pertaining to the accuracy or integrity of any portion of the work, even one in which the author was not directly involved, are appropriately investigated and resolved, including documentation in the literature if appropriate.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.