Floating thrombus in the proximal aortic arch.
Floating thrombus in the aortic arch is an unusual source of systemic embolism. Surgical removal of the thrombus is a therapeutic option, because thrombolytic therapy carries the risk of partial lysis and repeat embolization. We report a case involving a large floating thrombus that originated in the proximal aortic arch and extended into the left subclavian artery and the descending aorta, and we discuss the surgical management.
Choi
Jong Bum
JB
Department of Thoracic and Cardiovascular Surgery, Wonkwang University Hospital, Iksan, South Korea. jobchoi@wonkwang.ac.kr
Choi
Soon Ho
SH
Kim
Nam Ho
NH
Jeong
Jin Won
JW
D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*
Tex Heart Inst J. 2000;27(3):318-9
11093426
Circulation. 2000 Dec 12;102(24):3023-4
11113056
Ann Thorac Surg. 2001 Sep;72(3):925-7
11565689
J Vasc Surg. 2002 Dec;36(6):1186-93
12469050
Ann Vasc Surg. 1999 Jan;13(1):115-20
9878666
N Engl J Med. 1992 Aug 13;327(7):500-1
1625748
Mayo Clin Proc. 1993 Mar;68(3):268-72
8474270
Ann Thorac Surg. 1996 Sep;62(3):899-901
8784036
Ann Thorac Surg. 2003 Jun;75(6):2009
12822667