title: Bowel ischemia caused by a giant thrombus in the ascending aorta. A case report.
abstract: Although an ascending aortic thrombus is a rare condition, it can cause serious complications of thromboembolism. Here we present a rare case of a patient who was hospitalized due to ileal arteries embolization caused by emboli from a giant thrombus in the ascending aorta. After 10 days anti-coagulation therapy, we performed a surgery to replace the ascending aorta containing the strip organized thrombus with a synthetic graft. During two years of postoperative follow-up, no recurrence of aortic thrombosis was found. Although the exact cause of this thrombus remains unclear, we believe that it is important to perform a surgery as soon as the presence of an ascending aortic thrombus is confirmed, which could help preventing the major recurrent embolic events.
authors.affiliation: Department of Cardiovascular Surgery, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
authors.forename: Hua-Dong
authors.initials: HD
authors.lastname: Li
authors.affiliation: Department of Cardiovascular Surgery, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China suntucheng@126.com.
authors.forename: Tu-Cheng
authors.initials: TC
authors.lastname: Sun
mesh_terms: D000925:Anticoagulants / Q000008:administration & dosage; D001018:Aortic Diseases / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D001027:Aortography / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D001706:Biopsy; D019917:Blood Vessel Prosthesis Implantation; D004334:Drug Administration Schedule; D006801:Humans; D007082:Ileum / Q000098:blood supply*; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D013923:Thromboembolism / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013927:Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants
keywords: Bowel ischemia; ascending aortic thrombus; ileal arteries embolization