Subclinical thrombosis of the ascending aorta: a possible paraneoplastic syndrome.
Thrombosis of the ascending aorta is a rare, potentially lethal complication. We report the case of a 56-year-old woman with a massive but subclinic thrombosis of the ascending aorta after two cycles of chemotherapy due to an epidermoid lung carcinoma stage T3 N2 M0. An emergent aortic thrombectomy was performed under deep hypothermic circulatory arrest. This thrombotic event occurred in an arterial vessel with high laminar flow, which is extremely uncommon and did not present any clinical manifestation.
Mosquera
Victor X
VX
Department of Cardiothoracic Surgery, Image Laboratory, Juan Canalejo Hospital, A Coruña, Spain. vxmr@yahoo.es
Cuenca
José J
JJ
Pazos
Pablo
P
Herrera
José M
JM
Mohammad
Mohammad
M
Juffé
Alberto
A
D000792:Angiography / Q000379:methods; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001011:Aorta / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000628:therapy*; D006348:Cardiac Surgical Procedures / Q000379:methods; D002315:Cardiopulmonary Bypass; D003131:Combined Modality Therapy; D017548:Echocardiography, Transesophageal; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000628:therapy*; D008875:Middle Aged; D009367:Neoplasm Staging; D010257:Paraneoplastic Syndromes / Q000175:diagnosis; D011013:Pneumonectomy / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D017131:Thrombectomy / Q000379:methods*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome