Key result
Surgical excision successfully removes a 7.7-cm giant floating aortic thrombus in an ischemic stroke patient.
Case Report (n=1)
No
Surgical removal of a giant floating thrombus in the ascending aorta is a viable management strategy for patients presenting with embolic cerebrovascular events.
Surgical excision may be feasible for giant ascending aortic thrombus with embolic stroke; hypothesis-generating and leaves open optimal therapy and generalizability.
We report the case of a 32-year-old male patient with symptoms of cerebrovascular accident manifesting with dysarthria. A transesophageal echocardiogram showed a floating mass localized in the ascending aorta, and a multislice computed tomography evaluation confirmed the diagnosis. With a comprehensive assessment of the mass, we decided on surgical intervention. A pedunculated and fragile mass was seen just near the right coronary ostium. The measured dimensions were 7.7 x 1.0 x 1.5 cm. The removed mass has been analyzed histopathologically and found to be the cause of the neurologic findings with an uncertain underlying etiology.
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Akyıldız et al. (2010) conducted a case report in Giant floating thrombus in the ascending aorta (n=1). Surgical excision was evaluated on Postoperative outcome. Surgical excision successfully removed a 7.7 x 1.0 x 1.5 cm giant floating thrombus from the ascending aorta of a 32-year-old man presenting with an ischemic stroke.
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