Author:
George Iosifescu Andrei,Radu Corina,Laura Marin Simona,Enache Roxana
Abstract
An asymptomatic 59-year-old female patient presented with a large floating mass, presumably a thrombus, in the distal ascending aorta. It developed during chemotherapy following nephrectomy for ureteral carcinoma. Due to embolic risks, surgery was indicated. Epiaortic echography revealed embolic risks upon aortic cross-clamping. Aortotomy was performed during brief circulatory arrest under mild hypothermia, followed by safe aortic cross-clamping under direct vision and aortic thrombectomy. The postoperative course was uneventful. Malignancy- and chemotherapy-induced hypercoagulation probably favored thrombus formation. In conclusion, epiaortic echography and short circulatory arrest under tepid hypothermia help to avoid embolic events during ascending aorta thrombectomy.
Publisher
Baycinar Tibbi Yayincilik
Subject
Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,Surgery,General Engineering