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. 2020 Mar 25;13(1):69-71.
doi: 10.3400/avd.cr.19-00063.

Mobile Thrombus in the Ascending Aorta

Yujiro Kawai  1 , Kiyoshi Koizumi  2 , Takahito Itoh  2 , Minami Iio  2 , Hideyuki Shimizu  1
Affiliations

Mobile Thrombus in the Ascending Aorta

Yujiro Kawai et al. Ann Vasc Dis. .

Abstract

A 65-year-old male who presented with dizziness, dysarthria, and disability of his left hand was admitted to our hospital. Magnetic resonance imaging of the head revealed cerebral infarction and enhanced computed tomography revealed a suspicious thrombus in the ascending aorta. He did not have a coagulation disorder. We performed ascending aortic replacement and removed the thrombus with the aortic wall in order to avoid any recurrences. Here we report the successful treatment of the case from clinical and pathological points of view with some findings.

Keywords: aorta; graft-replacement; thrombus.

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Conflict of interest statement

Disclosure StatementAll authors have no conflict of interest.

Figures

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Fig. 1 (A) Axial and (B) left anterior oblique view of the ascending aorta by computed tomography (CT). (C) Long axial and (D) short axial view of the ascending aorta in transesophageal echocardiogram (TEE); the mobile thrombus was shown in CT and TEE (red arrows).
None
Fig. 2 (A) Intraoperative finding. The thrombus was attached to the ascending aorta (red arrow). (B) Resection of ascending aorta with thrombus (red arrow). (C) Hematoxylin & eosin stain of the resected ascending aorta with thrombus (×40); red arrows show thrombus attached to atherosclerosis plaque in the aorta. There was (not were) an intimal erosion and a ruptured fibrous cap of atherosclerotic plaque (black arrowheads), and the thrombus was on it. (D) Immunostaining for CD34 (×40); CD34-positive regenerated endothelial cells were on the intimal erosion and the thrombus (black arrow).
See this image and copyright information in PMC

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