Key result
Surgical removal of a free-floating thrombus in the ascending aorta was successfully performed on cardiopulmonary bypass in a 63-year-old woman presenting with acute myocardial infarction.
Case Report (n=1)
No
Surgical removal on cardiopulmonary bypass is a viable management strategy for a free-floating thrombus in the ascending aorta causing distal embolization.
May support surgical thrombectomy on bypass for ascending aortic thrombus in acute MI; leaves open optimal management and outcomes.
The ascending aorta is an uncommon site of noninfective thrombus. We describe the case of a 63-year-old woman who was admitted to our department with acute myocardial infarction. Coronary angiography showed occlusion of a small diagonal vessel, likely related to a distal embolization event. A transthoracic echocardiogram revealed a free-floating mass in the proximal ascending aorta. Two-and 3-dimensional transesophageal echocardiography studies were performed, and after a multidisciplinary heart team discussion, surgical removal of the mass was planned and successfully performed through a median sternotomy on cardiopulmonary bypass.
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Campanile et al. (2018) conducted a case report in Free-floating thrombus in the ascending aorta (n=1). Surgical removal was evaluated on Successful surgical removal. Surgical removal of a free-floating thrombus in the ascending aorta was successfully performed on cardiopulmonary bypass in a 63-year-old woman presenting with acute myocardial infarction.
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