Abstract
Although the causes of stroke are diverse, thromboembolism due to a mobile aortic thrombus is rare. We describe a surgical case of acute massive pulmonary embolism after critical cerebral infarction associated with a mobile ascending aortic thrombus in a 52-year-old woman. Concomitant surgical removal of the aortic thrombus and pulmonary embolectomy was performed successfully, and the patient has been stable without recurrent thromboembolic complications after 18 months of follow-up.
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Leacche M, Unic D, Goldhaber SZ, Rawn JD, Aranki SF, Couper GS, et al. Modern surgical treatment of massive pulmonary embolism: results in 47 consecutive patients after rapid diagnosis and aggressive surgical approach. J Thorac Cardiovasc Surg 2005;129:1018–1023.
Digonnet A, Moya-Plana A, Aubert S, Flecher E, Bonnet N, Leprince P, et al. Acute pulmonary embolism: a current surgical approach. Int Cardiovasc Thorac Surg 2007;6:27–29.
Skaf E, Stein PD, Beemath A, Sanchez J, Bustamante MA, Olson RE. Venous thromboembolism in patients with ischemic and hemorrhagic stroke. Am J Cardiol 2005;96:1731–1733.
Farah MG, Hawawini H. Thrombus of the ascending aorta as a source of cerebral embolism. Chest 1993;104:1604–1605.
Sodian R, Bauer M, Weng YG, Siniawski H, Koster A, Hetzer R. Floating nonocclusive thrombus in the ascending aorta. Ann Thorac Surg 2002;74:588–590.
Kalangos A, Baldovinos A, Vuille C, Montessuit M, Faidutti B. Floating thrombus in the ascending aorta: a rare cause of peripheral emboli. J Vasc Surg 1997;26:150–154.
Bruno P, Massimo M, Babatasi G, Khayat A. Catastrophic consequences of a free floating thrombus in ascending aorta. Eur J Cardiothorac Surg 2001;19:99–101.
Knoess M, Otto M, Kracht T, Neis P. Two consecutive fatal cases of acute myocardial infarction caused by free floating thrombus in the ascending aorta and review of literature. Forensic Sci Int 2007;171:78–83.
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Nakajima, M., Tsuchiya, K., Honda, Y. et al. Acute pulmonary embolism after cerebral infarction associated with a mobile thrombus in the ascending aorta. Gen Thorac Cardiovasc Surg 57, 654–656 (2009). https://doi.org/10.1007/s11748-009-0444-y
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DOI: https://doi.org/10.1007/s11748-009-0444-y