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Surgical treatment of a floating thrombus of the ascending aorta causing repeated arterial embolisms
Hicham Labsaili1, Amal Bouaggad2, Aroussi Aziz Alami3
1Service de Chirurgie Thoracique et Cardiovasculaire, Institut de Cardiologie, Hôpital de la Pitié Salpêtrière, Paris, France.
Abstract:
Floating thrombus of the ascending aorta is a rare and often ignored cause of peripheral embolic events. We report the observation of a patient presenting recurrent peripheral embolic demonstrations: acute ischemia of the right lower limb complicated of a thigh amputation and transient cerebrovascular accident. The assessment by angioscanner highlighted a 40-mm thrombus of the ascending aorta. The thrombus was removed surgically. This diagnosis should not be ignored in the assessment of an embolic pathology with the risk of severe functional after-effects caused by an important diagnostic delay.
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