Surgical management of a free-floating thrombus in the ascending aorta. (March 2019)

• Record Type: Journal Article
• Authors: Campanile, Alfonso; Sardone, Mariagrazia; Pasquino, Stefano; Cagini, Angelo; Di Manici, Gino; Cavallini, Claudio
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 27:Number 3(2019)
• Page Start: 221
• Page End: 223
• Publication Date: 2019-03
• Subjects: Aorta -- Aortic diseases -- Echocardiography -- transesophageal -- Thrombectomy -- Thrombosis; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492318804956
• Languages: English
• ISSNs: 0218-4923

Abstract

The ascending aorta is an uncommon site of noninfective thrombus. We describe the case of a 63-year-old woman who was admitted to our department with acute myocardial infarction. Coronary angiography showed occlusion of a small diagonal vessel, likely related to a distal embolization event. A transthoracic echocardiogram revealed a free-floating mass in the proximal ascending aorta. Two-and 3-dimensional transesophageal echocardiography studies were performed, and after a multidisciplinary heart team discussion, surgical removal of the mass was planned and successfully performed through a median sternotomy on cardiopulmonary bypass.