Floating thrombus in the ascending aorta causing repeated arterial embolisms

  1. Belén Adrio 1
  2. Souhayla Souaf 1
  3. Zaid Al-Hamwy 5
  4. Javier García 1
  5. Angel L Fernández 234
  1. 1 Service of Cardiac Surgery, University Hospital, Santiago de Compostela, Spain.
  2. 2 Service of Cardiac Surgery, University Hospital, Santiago de Compostela, Spain
  3. 3 Department of Surgery and Medico-Surgical Specialties, University of Santiago de Compostela, Spain
  4. 4 CIBERCV, Santiago de Compostela, Spain.
  5. 5 Department of Surgery and Medico-Surgical Specialties, University of Santiago de Compostela, Spain.
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Revista:
Revista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular

ISSN: 0873-7215

Ano de publicación: 2018

Volume: 25

Número: 1-2

Tipo: Artigo

GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Revista portuguesa de cirurgia cardio-toracica e vascular : orgao oficial da Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular

Resumo

Free-floating thrombus in an otherwise normal ascending aorta is a rare finding. We report the case of a 61-year-old woman admitted for brain and peripheral arterial embolisms. Echocardiography was not able to detect the source of embolus. Computed tomographic scan demonstrated a large floating mass attached to the posterior wall of the distal ascending aorta. The thrombus was successfully removed with the patient under deep hypothermic circulatory arrest. Some aspects regarding pathogenesis, diagnosis and treatment are discussed.