title: Massive intraoperative thrombus of the aortic arch and proximal descending aorta.
abstract: A 49-year-old male patient presented with a paravalvular leakage 18 years after aortic valve replacement. The patient received a mechanical valve and was weaned uneventfully from cardiopulmonary bypass. After a drop in the pressure curve of the left radial artery an additional line was placed in the proximal ascending aorta showing normal systemic pressure. Transesophageal echocardiography showed a massive circular thrombosis of the distal aortic arch. The patient received a covered stent to expand the residual aortic lumen and left the hospital in good health.
authors.affiliation: Department of Cardiovascular Surgery, University Hospital, Freiburgstrasse, Bern, Switzerland. dr.d.reineke@gmail.com
authors.forename: David C
authors.initials: DC
authors.lastname: Reineke
authors.forename: Martin T R
authors.initials: MT
authors.lastname: Grapow
authors.forename: Martin
authors.initials: M
authors.lastname: Schumann
authors.forename: Manfred D
authors.initials: MD
authors.lastname: Seeberger
authors.forename: Thierry P
authors.initials: TP
authors.lastname: Carrel