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Review
. 2019 Sep 4;14(1):157.
doi: 10.1186/s13019-019-0975-y.

Huge thrombus in the ascending aorta: a case report and literature review

Baogang Wang  1 , Dashi Ma  1 , Dianbo Cao  1 , Xiaxia Man  2
Affiliations
Review

Huge thrombus in the ascending aorta: a case report and literature review

Baogang Wang et al. J Cardiothorac Surg. .

Abstract

Background: A floating thrombus in the ascending aorta is occasionally found in clinical practice. The treatment for such lesions is poorly defined and mainly depends on the clinical experience of the surgeons.

Case presentation: We herein report a case involving a 22- × 22- × 45-mm space-occupying lesion in the ascending aorta. The patient was successfully treated with surgical intervention. Thrombectomy and ascending aorta replacement were performed to prevent systemic embolization. Histopathological examination revealed that the lesion was a thrombus.

Conclusions: Aortic computed tomography angiography is a useful examination technique for patients with aortic thrombi. Resection of the thrombus can effectively reduce the risk of recurrent embolism.

Keywords: Ascending aorta; Computed tomography angiography; Floating thrombus; Transthoracic echocardiography.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
a: Computed tomography showed a large lesion atteched to the aortic inner wall. b: Magnetic resonance investigation showed that the feature of the lesion might be thrombus. c: Intraoperative photography after excision showed the in situ mass attached to the aortic wall (the blue arrow)
Fig. 2
Fig. 2
a: Intraoperative photography after excision showed mass specimen was well defined (the blue arrow). b: Hematoxylin-eosin stained specimen showed the mass was thrombus (40×). c: Postoperation X-ray showed that the outline of the heart and the aorta were normal
See this image and copyright information in PMC

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