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Case Reports
. 2011 Feb;44(1):72-5.
doi: 10.5090/kjtcs.2011.44.1.72. Epub 2011 Feb 12.

Floating Thrombus in the Ascending Aorta of the Patient with Systemic Sclerosis - A case report -

Sub Lee  1 , Jun-Woo Cho, Oh-Choon Kwon
Affiliations
Case Reports

Floating Thrombus in the Ascending Aorta of the Patient with Systemic Sclerosis - A case report -

Sub Lee et al. Korean J Thorac Cardiovasc Surg. 2011 Feb.

Abstract

Aortic thrombi are important because it can cause the central and peripheral embolizations. Aortic thrombi can occur anywhere in the aorta but extremely rare in ascending aorta without atherosclerosis, aneurysm, cardiosurgical or traumatic state. Systemic sclerosis (SSc) is an autoimmune disorder of connective tissue and it can involve multisystem. Enhanced coagulation pathways, decreased fibrinolysis, and endothelial dysfunction probably contribute to vascular events in SSc. We report a case of a highly mobile thrombus in the ascending aorta, presented as an acute embolic stroke in the patient with systemic sclerosis. Surgical removal was performed to prevent recurrent embolic events.

Keywords: Aorta; Systemic sclerosis; Thrombosis.

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Figures

Fig. 1
Fig. 1
Brain MRI shows acute infarction in left precentral gyrus and left parietal lobe.
Fig. 2
Fig. 2
Preoperative TEE and 3D thoracic aorta CT show thrombus in the ascending aorta.
Fig. 3
Fig. 3
Gross photo of about 2.5 cm-sized thrombus.
See this image and copyright information in PMC

References

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