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Multiple Ascending Aortic Mural Thrombi and Acute Necrotizing Mediastinitis Secondary to Acute Pancreatitis

Byung Kwon Chong1, Jae Kwang Yun1, Joon Bum Kim1

  • 1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine.

The Korean Journal of Thoracic and Cardiovascular Surgery
|October 14, 2016
PubMed

Insights

Acute pancreatitis can rarely cause aortic thrombi. Surgical intervention for mediastinitis and aortic thrombi in this case led to successful recovery and long-term patient health.

Area of Science:

  • Cardiovascular Surgery
  • Gastroenterology
  • Thoracic Surgery

Background:

  • Acute pancreatitis is a serious condition with potential for severe complications.
  • Aortic thrombi are an exceptionally rare manifestation of acute pancreatitis.

Observation:

  • A patient presented with acute pancreatitis complicated by a paraesophageal pseudocyst and necrotizing mediastinitis.
  • Multiple thrombi were identified in the ascending aorta.

Findings:

  • The patient underwent successful surgical treatment, including mediastinal debridement and aortic thrombi removal.
  • Cardiopulmonary bypass was utilized during the surgical procedure.

Implications:

  • This case highlights the importance of considering rare vascular complications in severe pancreatitis.
  • Effective surgical management can lead to favorable long-term outcomes for complex cases.
Keywords:
AortaEsophageal DiseasesMediastinitisPancreatitis, Acute NecrotizingThrombosis

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