title: Endovascular Stent-Grafting of the Ascending Aorta for Symptomatic Parietal Thrombus.
abstract: To present stent-graft treatment of parietal thrombus in the ascending aorta.
  
  
  
  A 64-year-old man with no history of vascular disease developed a right cerebral hemisphere transient ischemic attack and was diagnosed with mural thrombosis of the ascending aorta involving the greater curvature just proximal to the origin of the innominate artery. He was treated for 2 months with anticoagulants, but new imaging studies showed significant increase in the size of the thrombus and an irregular aspect. The thrombus was excluded from the aortic blood flow by deployment of a custom-made stent-graft in the ascending aorta, with embolic protection of the right internal carotid artery. At 6 months, the patient was well, and the thrombus in the ascending aorta appears to be completely excluded by the stent-graft.
  
  
  
  In highly selected cases, custom-made thoracic stent-grafts may be used for stabilization and exclusion of symptomatic ascending aorta parietal thrombosis to prevent progression and recurrent embolization.
authors.affiliation: Department of Vascular Surgery, Scientific Institute H. San Raffaele, Vita Salute San Raffaele University, Milan, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Kahlberg
authors.affiliation: Department of Interventional Cardiology, Scientific Institute H. San Raffaele, Vita Salute San Raffaele University, Milan, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Montorfano
authors.affiliation: Department of Vascular Surgery, Scientific Institute H. San Raffaele, Vita Salute San Raffaele University, Milan, Italy t.cambiaghi@yahoo.it.
authors.forename: Tommaso
authors.initials: T
authors.lastname: Cambiaghi
authors.affiliation: Department of Vascular Surgery, Scientific Institute H. San Raffaele, Vita Salute San Raffaele University, Milan, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Bertoglio
authors.affiliation: Department of Vascular Surgery, Scientific Institute H. San Raffaele, Vita Salute San Raffaele University, Milan, Italy.
authors.forename: Germano
authors.initials: G
authors.lastname: Melissano
authors.affiliation: Department of Vascular Surgery, Scientific Institute H. San Raffaele, Vita Salute San Raffaele University, Milan, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Chiesa
mesh_terms: D000368:Aged; D001011:Aorta; D001013:Aorta, Thoracic; D019917:Blood Vessel Prosthesis Implantation; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D015607:Stents; D013927:Thrombosis / Q000628:therapy*; D016896:Treatment Outcome
keywords: ascending aorta; embolic protection; embolism; endovascular treatment; mural thrombus; parietal thrombus; stent-graft; thrombosis