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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
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A giant floating thrombus in the ascending aorta: a case report
Peng Yang1, Ya Li2, Yao Huang1
1Department of Cardiovascular Surgery, West China Hospital of Sichuan University, No. 37 Guo Xue Alley, Chengdu, 610041, China.
BMC Surgery
|December 10, 2020
Summary
A rare floating thrombus in the ascending aorta was surgically removed. This case highlights the embolic risk of aortic thrombi and standard treatment approaches.
Area of Science:
- Cardiovascular Medicine
- Vascular Surgery
- Diagnostic Imaging
Background:
- Floating thrombi in the ascending aorta are exceptionally rare.
- Their formation mechanisms and optimal management strategies are not well-defined.
- These thrombi pose a significant risk for systemic embolism and stroke.
Observation:
- A 49-year-old male presented with chest discomfort.
- Contrast-enhanced computed tomography angiography revealed a large thrombus in the ascending aorta.
- Surgical resection of the thrombus and its attachment site was performed.
Findings:
- Histological examination confirmed the mass as a thrombus.
- The etiology of the aortic thrombus remained undetermined.
- The ascending aorta exhibited normal morphology.
Implications:
- Floating aortic thrombi are a critical finding due to high embolic potential.
- Prompt surgical intervention for aortic thrombus is recommended.
- Post-operative anticoagulation is a standard therapeutic measure.
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