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Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
Published on: September 8, 2023
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[Ascending Aortic Thrombus Recognized by Acute Brachial Arterial Occlusion]
Kohei Miyashita1, Kazuki Kihara, Hideaki Nishimori
1Department of Surgery II , Kochi University, Nankoku, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|November 7, 2017
Summary
A mobile ascending aortic thrombus caused acute brachial artery occlusion in a 49-year-old woman. Surgical removal and anticoagulation therapy prevented further thrombotic events.
Area of Science:
- Cardiovascular Medicine
- Vascular Surgery
- Diagnostic Imaging
Background:
- Ascending aortic thrombus is a rare cause of arterial occlusion.
- Acute arterial occlusion presents a surgical emergency.
Observation:
- A 49-year-old woman presented with sudden right arm pain due to acute brachial artery occlusion.
- Contrast-enhanced computed tomography and echocardiography identified a large, mobile ascending aortic thrombus.
Findings:
- Surgical intervention via aortotomy under circulatory arrest successfully removed the aortic thrombi.
- Postoperative diagnosis revealed thrombosis in the right atrium and lower extremity deep veins.
- Trans-esophageal echocardiography aided in monitoring thrombus stability during surgery.
Implications:
- This case highlights the importance of considering ascending aortic thrombus in acute arterial occlusion.
- Early diagnosis and surgical management are crucial for favorable outcomes.
- Comprehensive thrombophilia workup and long-term anticoagulation are indicated post-operatively.
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