title: Plural large floating thrombi in the ascending aorta.
abstract: Floating thrombi in the ascending aorta are a very rare finding in non-aneurysmal, mildly atherosclerotic or normal aortas. We report a case of floating thrombi in a 66-year-old man who was admitted to the hospital with acute chest pain and dyspnea. Enhanced computed tomography showed two large floating thrombi in the ascending aorta, type B aortic dissection, deep venous thrombosis, and pulmonary embolism. A temporary inferior vena cava filter was inserted and the subject underwent an emergency surgical intervention to remove both masses. His postoperative course was uneventful; the etiology of the thrombi is unknown. Lifelong anticoagulation therapy was started and the subject has been stable without recurrence for the last 2 years.
authors.affiliation: Department of Cardiovascular Surgery, Matsue Red Cross Hospital, 200 Horomachi, Matsue, Shimane, 690-8506, Japan. canononef@yahoo.co.jp.
authors.forename: Hisao
authors.initials: H
authors.lastname: Harada
authors.affiliation: Department of Cardiovascular Surgery, Matsue Red Cross Hospital, 200 Horomachi, Matsue, Shimane, 690-8506, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Soeda
authors.affiliation: Department of Cardiovascular Surgery, Matsue Red Cross Hospital, 200 Horomachi, Matsue, Shimane, 690-8506, Japan.
authors.forename: Yuhei
authors.initials: Y
authors.lastname: Saitoh
authors.affiliation: Department of Cardiovascular Surgery, Matsue Red Cross Hospital, 200 Horomachi, Matsue, Shimane, 690-8506, Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Nakahara
mesh_terms: D000368:Aged; D001018:Aortic Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000601:surgery; D017131:Thrombectomy / Q000379:methods; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods; D016306:Vena Cava Filters; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery
keywords: Aortic dissection; Ascending aorta; Pulmonary embolism; Thrombus