Surgical removal of a free-floating thrombus in the ascending aorta can lead to successful patient recovery.
May support surgical removal in rare aortic thrombus cases; leaves open need for prospective data on optimal management.
The ascending aorta may be the site of origin of systemic embolization of an unidentifiable cause. We report a case in which a free-floating thrombus of an unknown cause was detected in the ascending aorta via transesophageal echocardiography. The removal of this pedunculated thrombus, which was attached onto a macroscopically and histologically mildly atherosclerotic aortic wall, led to an uneventful recovery for the patient.
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Mandegar et al. (2008) studied this question.
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