title: Acute pulmonary embolism after cerebral infarction associated with a mobile thrombus in the ascending aorta.
abstract: Although the causes of stroke are diverse, thromboembolism due to a mobile aortic thrombus is rare. We describe a surgical case of acute massive pulmonary embolism after critical cerebral infarction associated with a mobile ascending aortic thrombus in a 52-year-old woman. Concomitant surgical removal of the aortic thrombus and pulmonary embolectomy was performed successfully, and the patient has been stable without recurrent thromboembolic complications after 18 months of follow-up.
authors.affiliation: Department of Cardiovascular Surgery, Yamanashi Central Hospital, Fujimi, Kofu, Japan. m-nakajima2a@ych.pref.yamanashi.jp
authors.forename: Masato
authors.initials: M
authors.lastname: Nakajima
authors.forename: Koji
authors.initials: K
authors.lastname: Tsuchiya
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Honda
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Koshiyama
authors.forename: Tatsuho
authors.initials: T
authors.lastname: Kobayashi
mesh_terms: D000208:Acute Disease; D000925:Anticoagulants / Q000627:therapeutic use; D001018:Aortic Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D002544:Cerebral Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D003664:Decompression; D017128:Embolectomy; D005260:Female; D006331:Heart Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017131:Thrombectomy; D013927:Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants