title: Surgical treatment of a floating thrombus of the ascending aorta causing repeated arterial embolisms.
abstract: Floating thrombus of the ascending aorta is a rare and often ignored cause of peripheral embolic events. We report the observation of a patient presenting recurrent peripheral embolic demonstrations: acute ischemia of the right lower limb complicated of a thigh amputation and transient cerebrovascular accident. The assessment by angioscanner highlighted a 40-mm thrombus of the ascending aorta. The thrombus was removed surgically. This diagnosis should not be ignored in the assessment of an embolic pathology with the risk of severe functional after-effects caused by an important diagnostic delay.
authors.affiliation: Service de Chirurgie Thoracique et Cardiovasculaire, Institut de Cardiologie, Hôpital de la Pitié Salpêtrière, Paris, France. Electronic address: hachoum.labs@hotmail.com.
authors.forename: Hicham
authors.initials: H
authors.lastname: Labsaili
authors.affiliation: Service de Cardiologie, Hôpital Ibn Rochd, Casablanca, Maroc.
authors.forename: Amal
authors.initials: A
authors.lastname: Bouaggad
authors.affiliation: Service de Chirurgie Cardiovasculaire, Hôpital Ibn Rochd, Casablanca, Maroc.
authors.forename: Aroussi Aziz
authors.initials: AA
authors.lastname: Alami
authors.affiliation: Service de Chirurgie Thoracique et Cardiovasculaire, Institut de Cardiologie, Hôpital de la Pitié Salpêtrière, Paris, France.
authors.forename: Akhtar
authors.initials: A
authors.lastname: Rama
authors.affiliation: Service de Chirurgie Thoracique et Cardiovasculaire, Institut de Cardiologie, Hôpital de la Pitié Salpêtrière, Paris, France.
authors.forename: Pascal
authors.initials: P
authors.lastname: Leprince
mesh_terms: D000368:Aged; D001011:Aorta; D001018:Aortic Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D057210:Delayed Diagnosis; D017548:Echocardiography, Transesophageal; D004617:Embolism / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D012008:Recurrence; D017131:Thrombectomy / Q000379:methods*; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed