Case Report (n=1)
Early surgical replacement of the ascending aorta containing a giant thrombus may prevent major recurrent embolic events.
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May support early surgery after brief anticoagulation for giant ascending aortic thrombus; hypothesis-generating and requires prospective validation.
Although an ascending aortic thrombus is a rare condition, it can cause serious complications of thromboembolism. Here we present a rare case of a patient who was hospitalized due to ileal arteries embolization caused by emboli from a giant thrombus in the ascending aorta. After 10 days anti-coagulation therapy, we performed a surgery to replace the ascending aorta containing the strip organized thrombus with a synthetic graft. During two years of postoperative follow-up, no recurrence of aortic thrombosis was found. Although the exact cause of this thrombus remains unclear, we believe that it is important to perform a surgery as soon as the presence of an ascending aortic thrombus is confirmed, which could help preventing the major recurrent embolic events.
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Li et al. (2014) conducted a case report in Bowel ischemia caused by a giant thrombus in the ascending aorta (n=1). Surgery to replace the ascending aorta with a synthetic graft was evaluated on Recurrence of aortic thrombosis.
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