Surgical management of a free-floating thrombus in the ascending aorta.
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.
['Campanile|Alfonso|A|https://orcid.org/0000-0001-7002-3556', 'Sardone|Mariagrazia|M|', 'Pasquino|Stefano|S|', 'Cagini|Angelo|A|', 'Di Manici|Gino|G|', 'Cavallini|Claudio|C|']
D001018:Aortic Diseases D001157:Arterial Occlusive Diseases D002315:Cardiopulmonary Bypass D017023:Coronary Angiography D019560:Echocardiography, Three-Dimensional D017548:Echocardiography, Transesophageal D005260:Female D006801:Humans D008875:Middle Aged D056346:Sternotomy D017131:Thrombectomy D013927:Thrombosis D016896:Treatment Outcome
Aorta transesophageal Echocardiography Aortic diseases Thrombectomy Thrombosis