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COVID-19-related Floating Thrombus in the Ascending Aorta - A Case Report
Roxana Carmen Geana1, Reza Nayyerani1, Razvan Petru Dragulescu1
1Emergency Institute for Cardiovascular Diseases "Prof. Dr. C. C. Iliescu", Bucharest, Romania.
Background/Aim:
Multiple aortic mural thrombi at the level of the ascending aorta represent a rare condition, only isolated cases have been reported so far. The aim of the current article was to report the case of a 61-year-old patient diagnosed with this pathology.
Case Report:
A 61-year-old patient with history of COVID infection six months previously was initially diagnosed with acute upper right limb ischemia and submitted to Fogarty desobstruction. Furthermore, the patient was diagnosed with a free-floating mass in the ascending aorta, for which he was submitted to aortotomy and floating thrombi, measuring 5.6×1.5 cm and 3×1.5 cm, were completely removed. The postoperative outcomes were favorable; at the three month follow up the patient proved to have a perfect circulated aortic lumen and supra-aortic vessels.
Conclusion:
immediate aortic desobstruction followed by reconstruction might be a lifesaving maneuver in ascending aortic thrombosis.
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