Key result
Surgical thrombectomy and ascending aorta replacement successfully treated a huge floating thrombus in the ascending aorta of a 56-year-old man, preventing systemic embolization.
Why the study?
Floating thrombi in the ascending aorta are occasionally found, but treatment strategies for such lesions are poorly defined and largely dependent on surgeon experience.
Case Report (n=1)
No
Surgical resection of a floating thrombus in the ascending aorta can be successfully performed to prevent systemic embolization, even in asymptomatic patients.
May support surgical resection for floating ascending aortic thrombus; hypothesis-generating from single case and should not change practice.
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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Wang et al. (2019) conducted a case report in Floating thrombus in the ascending aorta (n=1). Surgical thrombectomy and ascending aorta replacement was evaluated on Clinical outcome (survival and prevention of embolism). Surgical thrombectomy and ascending aorta replacement successfully treated a huge floating thrombus in the ascending aorta of a 56-year-old man, preventing systemic embolization.
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