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Fluttering cord-like thrombus in the aortic arch
Yuki Kuroda1, Akira Marui2, Yoshio Arai2
1Department of Cardiovascular Surgery, Kokura Memorial Hospital, 3-2-1 Asano Kokurakita-ku, Kitakyushu-shi, Fukuoka, 802-8555, Japan. kuro1208@kuhp.kyoto-u.ac.jp.
Journal of Cardiothoracic Surgery
|May 3, 2022
Summary
Surgical removal of aortic arch thrombus extending to neck arteries is feasible. Direct cannulation of neck arteries with selective cerebral perfusion offers a safe approach for these complex cases.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Interventional Cardiology
Background:
- Optimal treatment for aortic thrombus is not established.
- Surgical intervention is necessary for patients at risk of thromboembolism.
Observation:
- A 47-year-old male presented with left arm weakness.
- Imaging revealed an aortic arch thrombus extending to the left common carotid artery.
- The thrombus was surgically removed using hypothermic circulatory arrest and direct left carotid artery cannulation.
Findings:
- Histopathology confirmed the aortic object was a thrombus.
- The patient experienced an uneventful recovery and was discharged 9 days post-surgery.
Implications:
- Direct cannulation of neck arteries with selective cerebral perfusion is a viable technique for aortic arch thrombus extending to cervical arteries.
- This approach can prevent carotid thromboembolism during complex aortic surgeries.
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