Key result
Surgery successfully removes a free-floating non-occlusive ascending aortic thrombus in a patient presenting with AMI.
Case Report (n=1)
Surgical removal is a viable and effective treatment for a floating non-occlusive thrombus in the ascending aorta presenting as acute myocardial infarction.
May support surgical thrombectomy in rare ascending aortic thrombus with AMI; leaves open optimal management strategies.
We report the case of a 44-year-old diabetic woman who was a smoker using synthetic progestagen, with previous history of suspected thrombotic cerebral ischemia. She was admitted with clinical evidence of acute myocardial infarction. A coronary angiogram showed normal coronary arteries and distal occlusion of the left circumflex coronary artery. An ascending aorta angiogram and transesophageal echocardiography revealed a free floating mass attached to the aortic wall. The pedunculated thrombotic mass was surgically removed. Histological examination of the resected structure confirmed the macroscopic findings and revealed a recent thrombus. The patient was prescribed oral anticoagulant and released from hospital.
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Ribeiro et al. (2003) conducted a case report in Floating non-occlusive thrombus in the ascending aorta (n=1). Surgical removal of thrombotic mass was evaluated on Successful surgical removal and hospital discharge. Surgical removal of a free-floating non-occlusive thrombus in the ascending aorta was successfully performed in a 44-year-old woman presenting with acute myocardial infarction.
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