title: A floating thrombus in the ascending aorta complicated by acute myocardial infarction.
abstract: A 37-year-old male was transferred to our hospital with a diagnosis of acute myocardial infarction and a mass in the ascending aorta. Echocardiography revealed dyskinesia on the left ventricular apex and a floating mass lesion just above the aortic valve. Acute myocardial infarction was considered to be caused by embolism from the floating mass in the ascending aorta. Emergency surgery was successfully performed and histological examination showed the extirpated mass in the ascending aorta was thrombus. The patient has been well on oral anticoagulant and no recurrence has been seen on echocardiogram 4 years after the operation.
authors.affiliation: Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kagoike-dori 4-1-23, Chuo-ku, Kobe, Hyogo, 651-0053, Japan. nobozaki@kobeh.rofuku.go.jp.
authors.forename: Nobuchika
authors.initials: N
authors.lastname: Ozaki
authors.affiliation: Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kagoike-dori 4-1-23, Chuo-ku, Kobe, Hyogo, 651-0053, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Yuji
authors.affiliation: Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kagoike-dori 4-1-23, Chuo-ku, Kobe, Hyogo, 651-0053, Japan.
authors.forename: Masanobu
authors.initials: M
authors.lastname: Sato
authors.affiliation: Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kagoike-dori 4-1-23, Chuo-ku, Kobe, Hyogo, 651-0053, Japan.
authors.forename: Kyozo
authors.initials: K
authors.lastname: Inoue
authors.affiliation: Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kagoike-dori 4-1-23, Chuo-ku, Kobe, Hyogo, 651-0053, Japan.
authors.forename: Noboru
authors.initials: N
authors.lastname: Wakita
mesh_terms: D000328:Adult; D001011:Aorta; D006348:Cardiac Surgical Procedures / Q000379:methods*; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*; D017131:Thrombectomy / Q000379:methods*; D013927:Thrombosis / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed
keywords: Aortic thrombus; Cardiac surgery; Myocardial infarction