Key result
Surgical thrombectomy was performed to manage a rare large ascending aorta thrombus in a 50-year-old male presenting with acute myocardial infarction.
Why the study?
There is no specific pathway regarding the management of ascending aorta thrombus in patients presenting with acute myocardial infarction without typical predisposing conditions.
Case Report (n=1)
Surgical thrombectomy is a viable management strategy for rare cases of large ascending aorta thrombus presenting with acute myocardial infarction.
Supports consideration of thrombectomy to reduce embolism risk in AMI with large aortic thrombus; leaves open need for prospective validation.
We present the case of a 50-year-old male, with no cardiovascular risk factors other than smoking, that presented with acute chest pain, revealed to be an acute myocardial infarction with a large thrombus located in the ascending aorta. Such findings are rare in a patient with no other afflictions, such as atherosclerosis, aortic aneurysm, or aortic wall injury (surgical or traumatic). There is no specific pathway regarding the management of ascending aorta thrombus in such a patient; therapeutic options include surgical, interventional, or medical methods. Surgical thrombectomy was performed in this case, considering the high risk of systemic embolism and stroke and the hemodynamic stability of the patient.
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Moldovan et al. (2021) conducted a case report in Acute myocardial infarction with ascending aorta thrombus (n=1). Surgical thrombectomy was evaluated. Surgical thrombectomy was performed to manage a rare large ascending aorta thrombus in a 50-year-old male presenting with acute myocardial infarction.
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