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Aortogenic cerebrovascular accident

Shin-ichi Ohki1, Insu Kubota, Kei Aizawa

  • 1Division of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan.

Interactive Cardiovascular and Thoracic Surgery
|August 12, 2009
PubMed

Insights

A patient with neurological symptoms had aortic mural thrombi, which were successfully removed. This surgical intervention resolved the cerebrovascular symptoms, leading to a full recovery.

Area of Science:

  • Cardiovascular Medicine
  • Neurology
  • Vascular Surgery

Background:

  • Mural thrombi in the ascending aorta can lead to embolic events, causing cerebrovascular symptoms.
  • Atherosclerosis is a common underlying condition contributing to aortic pathology.

Observation:

  • A 59-year-old male presented with neurological dysfunction attributed to a mobile mural mass in the ascending aorta.
  • Echocardiography and 3D CT confirmed the presence of the aortic mural mass.
  • No coagulopathy was identified as a contributing factor.

Findings:

  • Surgical removal of the aortic mural masses was performed under cardiopulmonary bypass.
  • Pathological examination revealed the masses to be organizing thrombi originating from an atherosclerotic aortic wall.
  • The patient experienced an uneventful postoperative recovery.

Implications:

  • Surgical resection of aortic mural thrombi is an effective treatment for preventing recurrent cerebrovascular events.
  • Early diagnosis and intervention can significantly improve patient outcomes in cases of aortic thrombus.
  • This case highlights the importance of considering aortic pathology in patients with unexplained neurological symptoms.

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