A case of floating thrombus in the ascending aorta that caused recurrent peripheral arterial embolic events

Yamase, Yuichiro; Kuwabara, Fumiaki; Watanabe, Kazuko; Yajima, Kazuhiro; Akita, Nobukatsu; Horibe, Hideki; Hibino, Takeshi; Kondo, Taizo; Yokoi, Kiyoshi

doi:10.1016/j.jccase.2015.04.009

Cited by 11 publications

(10 citation statements)

References 5 publications

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“…Aortic thrombi can be caused by blood disorders (e.g., protein S or protein C deficiency and anti-phospholipid antibody syndrome), tumors, aortitis, collagen disease, aortic structural abnormalities (e.g., aortic aneurysms), intra-aortic atheroma, hormone therapy, steroid use, and atrial fibrillation. 3) In both cases, electrocardiogram showed sinus rhythm. No previous trauma or a supported device was found.…”

Section: Discussionmentioning

confidence: 86%

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Two Cases of Protruding Thrombus in the Ascending Aorta

Abe¹,

K²,

Shimabukuro³

et al. 2021

Annals of Vascular Diseases

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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.

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Section: Discussionmentioning

confidence: 86%

“…We replaced ascending aorta with prosthesis graft in order to prevent recurrence and systemic embolism. 3 , 9 ) One case was clamp and another case was non-clamp. The difference in these cases was the site of thrombus.…”

Section: Discussionmentioning

confidence: 99%

Two Cases of Protruding Thrombus in the Ascending Aorta

Abe¹,

K²,

Shimabukuro³

et al. 2021

Annals of Vascular Diseases

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show abstract

“…The etiology of a thrombus in the aorta is complex. Aortic thrombi can be caused by blood disorders (e.g., protein S or protein C deficiency and anti-phospholipid antibody syndrome), tumors, aortitis, collagen disease, aortic structural abnormalities (e.g., aortic aneurysms), intra-aortic atheroma, hormone therapy, steroid use, and atrial fibrillation [9]. The present patient had no evidence of coagulation disorders or arteriosclerotic risk factors such as hypertension or diabetes mellitus.…”

Section: Discussionmentioning

confidence: 90%

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

Wang

Cao

et al. 2019

J Cardiothorac Surg

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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.

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“…aortic aneurysms), intra-aortic atheromas, hormone therapy, steroid use, and atrial fibrillation. 3 Laperche et al 4 reported that dyslipidemia and smoking are also risk factors for thrombus formation. Among chemotherapies, cisplatin is known to be a risk factor for thrombus formation, and it has been reported that vascular events occurred in about 45% of cisplatin-treated patients within the first 2 courses.…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic floating thrombus in the ascending aorta depicted on four-dimensional computed tomography

Nishimura

Sueyoshi

Tasaki

et al. 2020

SAGE Open Medical Case Reports

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Aortic mural thrombi of the ascending aorta are rare. If an aortic mural thrombus is dislodged, it can cause various embolic complications, which can sometimes be fatal. Although contrast-enhanced computed tomography (CT) and transesophageal echography are useful for diagnosing aortic mural thrombi, four-dimensional CT (4D-CT) is one of the most useful modalities for both diagnosis and treatment selection in such cases. 4D-CT can be used to evaluate the morphology and mobility of thrombi. Furthermore, it is minimally invasive. To the best of our knowledge, there have not been any reports about 4D-CT being used to depict an asymptomatic ascending aortic thrombus. We report a very unusual case, involving an aortic mural thrombus of the ascending aorta.

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A case of floating thrombus in the ascending aorta that caused recurrent peripheral arterial embolic events

Cited by 11 publications

References 5 publications

Two Cases of Protruding Thrombus in the Ascending Aorta

Two Cases of Protruding Thrombus in the Ascending Aorta

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

Asymptomatic floating thrombus in the ascending aorta depicted on four-dimensional computed tomography

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