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. 2021 Mar 25;14(1):64-67.
doi: 10.3400/avd.cr.20-00155.

Two Cases of Protruding Thrombus in the Ascending Aorta

Noriyuki Abe  1 , Ken Yasumori  1 , Noriko Shimabukuro  1 , Takahiro Yamazato  1 , Hiroshi Munakata  1
Affiliations

Two Cases of Protruding Thrombus in the Ascending Aorta

Noriyuki Abe et al. Ann Vasc Dis. .

Abstract

In the first case, a 60-year-old man was referred to our hospital for a sudden stomachache. A computed tomography scan revealed a thrombus at ascending aorta with acute mesenteric ischemia. In the second case, a 62-year old man developed a hypoglycemic attack with unbalanced diet. A computed tomography showed a thrombus at ascending aorta without thromboembolism. Laboratory data of both cases showed elevated platelet and a loss of antithrombin III. We administered a resection of thrombus to prevent a systemic embolism. We suggested that the risk of ascending aorta thrombus was elevated platelet and a loss of antithrombin III.

Keywords: ascending aorta; platelet; thrombus.

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Conflict of interest statement

Disclosure StatementThere are no conflicts of interest to declare.

Figures

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Fig. 1 (A, B) A contrast computed tomography showed thrombosis in ascending aorta (arrows). (C) In operative findings, the thrombus was size of 25×40 mm, fragile and high mobile (double arrows).
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Fig. 2 The pathological findings showed thrombus originating from intimal laminae. The joint surface with aortic wall and thrombus was clear, and the ascending aorta showed no plaque and no malignancy.
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Fig. 3 (A) A contrast computed tomography showed thrombus in ascending aorta (arrow). (B) In operative findings, protruding thrombosis (16×10 mm: double arrows) in ascending aorta.
See this image and copyright information in PMC

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