Surgical treatment of a floating thrombus of the ascending aorta causing repeated arterial embolisms
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Updated: Apr 16, 2026

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Published on: March 28, 2025
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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