Surgical treatment of thoracoabdominal aortic mural and floating thrombi extending to infrarenal aorta.
The case of a 49-year-old man with thoracoabdominal aortic mural and floating thrombi extending to the infrarenal aorta and occlusion of the common iliac artery is described. He had no factors promoting thrombosis, with a history of thrombectomy of the femoral artery. The thoracoabdominal aortic thrombi were successfully removed with a Forgaty catheter through a thoracotomy under simple aortic clamping and subsequent femoro-femoral cardiopulmonary bypass. Intravascular ultrasound performed through the femoral artery after thrombectomy revealed that little mural thrombi remained and that the celiac, superior mesenteric, and bilateral renal arteries were all patent.
Takagi
Hisato
H
First Department of Surgery, Gifu University School of Medicine, Gifu, Japan. h-takagi@cc.gifu-u.ac.jp
Mori
Yoshio
Y
Umeda
Yukio
Y
Fukumoto
Yukiomi
Y
Matsuno
Yukihiro
Y
Mizuno
Yoshimasa
Y
Hirose
Hajime
H
D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D017131:Thrombectomy; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*; D018084:Ultrasonography, Interventional