Case Report (n=1)
Highlights the rare complication of thrombus formation due to graft kinking and demonstrates successful surgical resection as a viable treatment when heparin therapy fails.
Alerts clinicians to monitor for floating thrombus in kinked aortic grafts; single case leaves open optimal prevention and management strategies.
We encountered a 75-year-old man who underwent total arch replacement for a thoracic aortic aneurysm, then ascending aortoplasty for hemolysis due to a kinked ascending aortic graft. He presented with exhaustion and anemia 3 years later. Computed tomography revealed a large floating thrombus in the ascending aortic graft attached to the dorsal suture line. The thrombus developed after the graft kink was released, and although the dorsal mural thrombus disappeared, a floating white thrombus remained. Clinicians should ensure that the ascending graft is in a natural position without bending or kinking to reduce the risk of postoperative thrombus formation.
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Saitoh et al. (2023) conducted a case report in Thrombus in an ascending aortic graft (n=1). Surgical resection was evaluated on Successful removal of thrombus.
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