title: Rescue operation after ascending thoracic endovascular aortic repair in a patient with thrombosis of the left main coronary ostium.
abstract: Transfemoral stent graft implantation in the ascending aorta has been performed in patients with aortic abnormalities and particularly in the case of an existing symptomatic thrombus. We report on a 68-year old male patient who presented to our clinic with angina-pectoris-like chest pain after having been treated with an aortic stent graft. A computed tomography scan revealed a thrombus in the left main stem that could be successfully removed. The aortic stent graft was removed and the supracoronary ascending aorta replaced.
authors.affiliation: Department of Cardiovascular Surgery, University Medical Center, Heinrich Heine University, Duesseldorf, Germany.
authors.forename: Alexander
authors.initials: A
authors.lastname: Blehm
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Smiris
authors.forename: Paulus
authors.initials: P
authors.lastname: Schurr
authors.forename: Artur
authors.initials: A
authors.lastname: Lichtenberg
mesh_terms: D000368:Aged; D001011:Aorta / Q000473:pathology / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D054326:Coronary Sinus / Q000473:pathology / Q000503:physiopathology; D003328:Coronary Thrombosis / Q000473:pathology / Q000601:surgery; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D012086:Reoperation; D015607:Stents; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed
keywords: Ascending aorta; Coronary ostium; Occlusion; Stent; Thrombus