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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.

In Vivo (Athens, Greece)
|August 31, 2023
PubMed

Insights

Ascending aortic thrombosis is rare. This case report details the successful surgical removal of large aortic thrombi in a 61-year-old patient, restoring blood flow.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Medicine
  • Aortic Pathology

Background:

  • Multiple aortic mural thrombi in the ascending aorta are exceptionally rare, with limited case reports.
  • Ascending aortic thrombosis presents a significant diagnostic and therapeutic challenge.

Observation:

  • A 61-year-old male with a history of COVID-19 presented with acute upper limb ischemia.
  • Imaging revealed free-floating masses in the ascending aorta, consistent with large thrombi.

Findings:

  • Surgical intervention via aortotomy successfully removed two large floating thrombi (5.6x1.5 cm and 3x1.5 cm).
  • The patient experienced favorable postoperative outcomes with complete resolution of ischemia.

Implications:

  • Immediate surgical desobstruction and reconstruction can be a life-saving intervention for ascending aortic thrombosis.
  • This case highlights the importance of considering aortic thrombosis in patients with unexplained limb ischemia and cardiovascular events.
  • Successful surgical management can restore aortic lumen patency and supra-aortic vessel circulation.
Abstract

Keywords:
Ascending aortic thrombiCOVID 19desobstruction

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