Surgical management of a free-floating thrombus in the ascending aorta

Author:

Campanile Alfonso1ORCID,Sardone Mariagrazia1,Pasquino Stefano2,Cagini Angelo3,Di Manici Gino2,Cavallini Claudio1

Affiliation:

1. Department of Cardiology, Hospital S.M. della Misericordia, Perugia, Italy

2. Department of Cardiac Surgery, Hospital S.M. della Misericordia, Perugia, Italy

3. Department of Experimental Medicine, Section of Pathological Anatomy and Histology, University of Perugia, Italy

Abstract

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.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,General Medicine,Surgery

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