2002
DOI: 10.1016/s0967-2109(01)00047-3
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Organized thrombus in the ascending aorta originating from the ostium of the right coronary artery

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Cited by 13 publications
(20 citation statements)
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“…3,[5][6][7] We provided definitive echographic evidence that a mobile mass provoked intermittent left coronary occlusion. Ito et al reported the use of thrombolytic therapy for fresh thrombus in the ascending aorta, 4 but we did not consider the mass to be fresh thrombus on the basis of TEE findings and thus surgical treatment was employed.…”
Section: Discussionmentioning
confidence: 83%
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“…3,[5][6][7] We provided definitive echographic evidence that a mobile mass provoked intermittent left coronary occlusion. Ito et al reported the use of thrombolytic therapy for fresh thrombus in the ascending aorta, 4 but we did not consider the mass to be fresh thrombus on the basis of TEE findings and thus surgical treatment was employed.…”
Section: Discussionmentioning
confidence: 83%
“…Thrombosis in the ascending aorta [2][3][4][5] or in the sinus of Valsalva 6,7 associated with AMI is a very rare condition. As much as 150 years ago, Rudolf Virchow pointed out 3 important factors necessary for thrombus formation; namely, abnormalities in blood flow, blood constituents, and the vessel wall, which are now referred to as Virchow's triad.…”
Section: Discussionmentioning
confidence: 99%
“…A successful case of the latter was reported, 6 but the treatment of most case reports was surgical removal in emergency before embolizations, which often lead to catastrophic complications. [1][2][3]7 In our case, the fi rst treatment was anticoagulation therapy because of the possibility of cerebral infarction and hemorrhagic infarction, which could be worsened by cardiopulmonary bypass. So, we followed up the patient with CT, MRI, and TEE for a few days.…”
Section: Discussionmentioning
confidence: 82%
“…Nevertheless, there are some uncommon cases reported in literature where AMI was caused by obstruction of the ostium of the left or right coronary artery by a free floating thrombus in the ascending aorta [2,4,5,7,8,11,12]. Some patients were treated successfully by emergency procedures, others died.…”
Section: Introductionmentioning
confidence: 99%
“…Some patients were treated successfully by emergency procedures, others died. Strikingly, there seems to be a predisposition especially for younger women partly with no history of atherosclerotic events but with prothrombogenic risk factors like smoking or hormone therapy [3,4,6,12]. Especially the older patients demonstrated atherosclerotic changes of the aorta and showed at least one risk factor for coronary heart disease and atherosclerosis like history of smoking, hormone therapy, diabetes mellitus or prothrombogenic disease [1,2,5,7,8,11].…”
Section: Introductionmentioning
confidence: 99%