Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Journal of Cardiothoracic Surgery
Published in: Journal of Cardiothoracic Surgery 1/2019

Open Access 01-12-2019 | Transthoracic Echocardiography | Case report

Huge thrombus in the ascending aorta: a case report and literature review

Authors: Baogang Wang, Dashi Ma, Dianbo Cao, Xiaxia Man

Published in: Journal of Cardiothoracic Surgery | Issue 1/2019

Login to get access

Abstract

Background

A floating thrombus in the ascending aorta is occasionally found in clinical practice. The treatment for such lesions is poorly defined and mainly depends on the clinical experience of the surgeons.

Case presentation

We herein report a case involving a 22- × 22- × 45-mm space-occupying lesion in the ascending aorta. The patient was successfully treated with surgical intervention. Thrombectomy and ascending aorta replacement were performed to prevent systemic embolization. Histopathological examination revealed that the lesion was a thrombus.

Conclusions

Aortic computed tomography angiography is a useful examination technique for patients with aortic thrombi. Resection of the thrombus can effectively reduce the risk of recurrent embolism.
Literature
1.
Barry N, Tsui J, Dick J, Baker D, Selvakumar S. Aortic tumor presenting as acute lower limb ischemia. Circulation. 2011;123(16):1785–7.CrossRef
2.
Dhillon P, Murdoch D, Jayasinghe R, Niranjan S. A case of mobile aortic arch thrombus with systemic embolisation--a management dilemma. Heart Lung Circ. 2014;23(3):e88–91.CrossRef
3.
Houmsse M, McDavid A, Kilic A. Large de novo ascending aortic thrombus successfully treated with anticoagulation. Cardiovasc Thorac Res. 2018;10(2):113–4.CrossRef
4.
Scott DJ, White JM, Arthurs ZM. Endovascular management of a mobile thoracic aortic thrombus following recurrent distal thromboembolism: a case report and literature review. Vasc Endovasc Surg. 2014;48(3):246–50.CrossRef
5.
de Maat GE, Vigano G, Mariani MA, Natour E. Catching a floating thrombus; a case report on the treatment of a large thrombus in the ascending aorta. J Cardiothorac Surg. 2017;12(1):34.CrossRef
6.
Campanile A, Sardone M, Pasquino S, Cagini A, Di Manici G, Cavallini C. Surgical management of a free-floating thrombus in the ascending aorta. Asian Cardiovasc Thorac Ann. 2018;218492318804956.
7.
Madershahian N, Kuhn-Regnier F, Mime LB, Slottosch I, Langebartels G, Sindhu D, Wahlers T. A loose cannon: free-floating thrombus in ascending aorta. J Card Surg. 2009;24(2):198–9.CrossRef
8.
Yang SY, Yu J, Zeng WJ, et al. Aortic floating rhrombus detected by computed tomography angio -graphy incidentally: five cases and a literature review. J Thorac Cardiovasc Surg. 2017;153(4):791–803.CrossRef
9.
Yamase Y, Kuwabara F, Watanabe K, Yajima K, Akita N, Horibe H, Hibino T, Kondo T, Yokoi K. A case of floating thrombus in the ascending aorta that caused recurrent peripheral arterial embolic events. J Cardiol Cases. 2015;12(2):57–60.CrossRef
10.
Zhang T, Xiong J, Hu XZ, Jia X, Luan SL, Guo W. Application of computational fluid dynamics in hemodynamic research of aortic arch. Zhonghua Yi Xue Za Zhi. 2013;93(5):380–4.PubMed
Metadata
Title
Huge thrombus in the ascending aorta: a case report and literature review
Authors
Baogang Wang
Dashi Ma
Dianbo Cao
Xiaxia Man
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2019
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/s13019-019-0975-y

Other articles of this Issue 1/2019

Journal of Cardiothoracic Surgery 1/2019 Go to the issue

Case report

Total resection of an infected aortic arch aneurysm caused by Mycobacterium avium: a case report

Research article

Echocardiographic evaluation of non-surgically treated mild-to-moderate mitral dysfunction in patients undergoing aortic valve replacement

Research article

Comparison of modified total leaflet preservation, posterior leaflet preservation, and no leaflet preservation techniques in mitral valve replacement – a retrospective study

Research article

A simple mouse model of pericardial adhesions

Letter to the Editor

Spiral aortoplasty for dilated ascending aorta: a new technique for high-risk patients with combined procedures

Research article

Etiology of right ventricular restrictive physiology early after repair of tetralogy of Fallot in pediatric patients