[A simple surgical method for removing a large floating thrombus from the ascending aorta].
We report the successful surgical removal of a large floating thrombus from the ascending aorta causing systemic embolization. It was diagnosed by transesophageal echocardiography (TEE), CT scan, aortography and Cardiovascular Magnetic Resonance Imaging (CMR). The free-floating, highly embolic source 2 cm distal to the left coronary sinus was removed from the ascending aorta using a simple surgical technique. Isolated cerebral perfusion with circulatory arrest on normothermia provided a simple and safe access to the thrombus attached to a ruptured atherosclerotic plaque. The patient was discharged on the 7 th postoperative day after an uneventful recovery.
Szabolcs
Zoltán
Z
Semmelweis Egyetem, Altalános Orvostudományi Kar Er- és Szívsebészeti Klinika Budapest Városmajor utca 68, 1122. zszabolcs@erseb.sote.hu
Veres
Gábor
G
Hüttl
Tivadar
T
Bíró
Gábor
G
Tóth
Attila
A
Szeberin
Zoltán
Z
Windisch
Mária
M
Acsády
György
G
D001011:Aorta / Q000601:surgery*; D001018:Aortic Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D001027:Aortography; D050197:Atherosclerosis / Q000150:complications; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D017131:Thrombectomy / Q000379:methods*; D013923:Thromboembolism / Q000209:etiology; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome