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Case Reports
. 2018 Apr 30;4(2):170-172.
doi: 10.1016/j.jvscit.2018.03.002. eCollection 2018 Jun.

Direct oral anticoagulant therapy as an alternative to surgery for the treatment of a patient with a floating thrombus in the ascending aorta and pulmonary embolism

Masashi Toyama  1 , Masato Nakayama  1 , Masahiko Hasegawa  2 , Takeshi Yuasa  2 , Bunmei Sato  3 , Osamu Ohno  3
Affiliations
Case Reports

Direct oral anticoagulant therapy as an alternative to surgery for the treatment of a patient with a floating thrombus in the ascending aorta and pulmonary embolism

Masashi Toyama et al. J Vasc Surg Cases Innov Tech. .

Abstract

A floating thrombus in the ascending aorta was incidentally discovered in a patient with a descending thoracic aortic aneurysm and a history of alcoholism. The patient developed deep venous thrombosis and pulmonary embolism. However, he refused to undergo surgical excision of the thrombus in the ascending aorta. Therefore, treatment with rivaroxaban was administered for 3 months, and it completely dissolved the thrombus. Anticoagulant therapy may be an alternative treatment when surgery cannot be performed.

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Figures

Fig 1
Fig 1
Floating thrombus attached at 7-o'clock position of ascending aortic wall.
Fig 2
Fig 2
The ascending aortic thrombus is completely dissolved, and an irregular aortic intimal surface is shown from the 6- to 7-o'clock position.
See this image and copyright information in PMC

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