Top

General Thoracic and Cardiovascular Surgery

Published in:

01-08-2016 | Case Report

Plural large floating thrombi in the ascending aorta

Authors: Hisao Harada, Takeshi Soeda, Yuhei Saitoh, Takahiro Nakahara

Published in: General Thoracic and Cardiovascular Surgery | Issue 8/2016

Abstract

Floating thrombi in the ascending aorta are a very rare finding in non-aneurysmal, mildly atherosclerotic or normal aortas. We report a case of floating thrombi in a 66-year-old man who was admitted to the hospital with acute chest pain and dyspnea. Enhanced computed tomography showed two large floating thrombi in the ascending aorta, type B aortic dissection, deep venous thrombosis, and pulmonary embolism. A temporary inferior vena cava filter was inserted and the subject underwent an emergency surgical intervention to remove both masses. His postoperative course was uneventful; the etiology of the thrombi is unknown. Lifelong anticoagulation therapy was started and the subject has been stable without recurrence for the last 2 years.

Fayad ZY, Semaan E, Fahoum B, Briggs M, Tortolani A, D’Ayala M. Aortic mural thrombus in the normal or minimally atherosclerotic aorta. Ann Vasc Surg. 2013;27:282–90.CrossRefPubMed

Humbert VH Jr, Tuna IC, Harrison MR, Curtis DB, Webster SA. Aortic tumour in primary anti-phospholipid syndrome. Lancet. 2003;361:1676.CrossRefPubMed

Mandegar MH, Roshanali F, Kocharian A. Complicated course consequences of a floating thrombus in ascending aorta. Eur J Echocardiogr. 2008;9:846–8.CrossRefPubMed

Chatterjee S, Eagle SS, Adler DH, Byrne JG. Incidental discovery of an ascending aortic thrombus: should this patient undergo surgical intervention? J Thorac Cardiovasc Surg. 2010;140:e14–6.CrossRefPubMed

Hausmann D, Gulba D, Bargheer K, Niedermeyer J, Comess KA, Daniel WG. Successful thrombolysis of an aortic-arch thrombus in a patient after mesenteric embolism. N Engl J Med. 1992;327:500–1.CrossRefPubMed

Nakajima M, Tsuchiya K, Honda Y, Koshiyama H, Kobayashi T. Acute pulmonary embolism after cerebral infarction associated with a mobile thrombus in the ascending aorta. Gen Thorac Cardiovasc Surg. 2009;57:654–6.CrossRefPubMed

Koster A, Amin-Parsa M, Kaufmann M, Meyer-Jark T, Rudloff M, Diekmann J, et al. Fulminate heparin-induced thrombocytopenia and surgery with deep hypothermic circulatory arrest using bivalirudin. Ann Thorac Surg. 2013;95:1079–81.CrossRefPubMed

Ito H, Takahashi K, Sasaki H, Akiho H, Katahira Y, Saito H, et al. Large thrombus in the ascending aorta successfully treated by thrombolysis—an unusual cause of acute massive myocardial infarction. Jpn Circ J. 2001;65:572–4.CrossRefPubMed

Rhee MY, Myong NH, Park YB. Primary intimal sarcoma of the aorta: role of transesophageal echocardiography. Circ J. 2002;66:111–3.CrossRefPubMed

Title: Plural large floating thrombi in the ascending aorta
Authors: Hisao Harada
Takeshi Soeda
Yuhei Saitoh
Takahiro Nakahara
Publication date: 01-08-2016
Publisher: Springer Japan
Published in: General Thoracic and Cardiovascular Surgery / Issue 8/2016
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-014-0511-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Plural large floating thrombi in the ascending aorta

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 8/2016

Postoperative pyothorax a risk factor for acute exacerbation of idiopathic interstitial pneumonia following lung cancer resection

Erratum to: Thoracic and cardiovascular surgery in Japan during 2013

Aortic valve replacement and prosthesis-patient mismatch in the era of trans-catheter aortic valve implantation

Open aortic surgery after thoracic endovascular aortic repair

Multidisciplinary approach to treatment of radiation-induced chest wall sarcoma

Multicenter prospective study of sublobar resection for c-stage I non-small cell lung cancer patients unable to undergo lobectomy (KLSG-0801): complete republication