Successful removal of a floating thrombus in ascending aorta
Autor: | Angeles Heredero, Pilar Calderon, Gonzalo Aldamiz-Echevarria, Joel Hernandez, Ana Pastor, Paul A. Karagounis, Javier Higueras |
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Rok vydání: | 2010 |
Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Aortic Diseases Renal Artery Obstruction Risk Assessment Syncope Computed tomographic Lumbar Internal medicine medicine.artery Thromboembolism Ascending aorta medicine Humans Floating thrombus Thrombus Emergency Treatment Aorta Thrombectomy business.industry Middle Aged medicine.disease Echocardiography Doppler Aortic wall Treatment Outcome Embolism cardiovascular system Cardiology Embolic infarction Surgery Radiology Cardiology and Cardiovascular Medicine business Emergency Service Hospital Tomography X-Ray Computed Low Back Pain Follow-Up Studies |
Zdroj: | The Annals of thoracic surgery. 91(5) |
ISSN: | 1552-6259 |
Popis: | Free-floating thrombus in ascending aorta is a rare cause of peripheral embolism with potentially fatal consequences. We report the case of a young patient with syncope and sudden lumbar pain. Computed tomographic scan revealed a large pedunculated floating mass attached to the posterior wall of the ascending aorta, probably responsible of renal embolic infarction; transthoracic echocardiography confirmed the diagnosis. Surgery was urgently performed. The thrombus was excised, and was not related to atherosclerotic disease of the aortic wall. We conclude that once diagnosis is clear, urgent surgery must be considered to avoid any further embolic complications. |
Databáze: | OpenAIRE |
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