Surgical management of a free-floating thrombus in the ascending aorta.
Alfonso CampanileMariagrazia SardoneStefano PasquinoAngelo CaginiGino Di ManiciClaudio CavalliniPublished in: Asian cardiovascular & thoracic annals (2018)
The ascending aorta is an uncommon site of noninfective thrombus. We describe the case of a 63-year-old woman who was admitted to our department with acute myocardial infarction. Coronary angiography showed occlusion of a small diagonal vessel, likely related to a distal embolization event. A transthoracic echocardiogram revealed a free-floating mass in the proximal ascending aorta. Two-and 3-dimensional transesophageal echocardiography studies were performed, and after a multidisciplinary heart team discussion, surgical removal of the mass was planned and successfully performed through a median sternotomy on cardiopulmonary bypass.
Keyphrases
- pulmonary artery
- pulmonary hypertension
- aortic dissection
- coronary artery
- acute myocardial infarction
- pulmonary arterial hypertension
- aortic valve
- left ventricular
- heart failure
- aortic valve replacement
- quality improvement
- computed tomography
- percutaneous coronary intervention
- minimally invasive
- single cell
- atrial fibrillation
- coronary artery disease
- transcatheter aortic valve implantation
- case control