Massive intraoperative thrombus of the aortic arch and proximal descending aorta.
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.
Reineke
David C
DC
Department of Cardiovascular Surgery, University Hospital, Freiburgstrasse, Bern, Switzerland. dr.d.reineke@gmail.com
Grapow
Martin T R
MT
Schumann
Martin
M
Seeberger
Manfred D
MD
Carrel
Thierry P
TP