Skip to main content
SpringerLink
Log in

Plural large floating thrombi in the ascending aorta

  • Case Report
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Floating thrombi in the ascending aorta are a very rare finding in non-aneurysmal, mildly atherosclerotic or normal aortas. We report a case of floating thrombi in a 66-year-old man who was admitted to the hospital with acute chest pain and dyspnea. Enhanced computed tomography showed two large floating thrombi in the ascending aorta, type B aortic dissection, deep venous thrombosis, and pulmonary embolism. A temporary inferior vena cava filter was inserted and the subject underwent an emergency surgical intervention to remove both masses. His postoperative course was uneventful; the etiology of the thrombi is unknown. Lifelong anticoagulation therapy was started and the subject has been stable without recurrence for the last 2 years.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Fayad ZY, Semaan E, Fahoum B, Briggs M, Tortolani A, D’Ayala M. Aortic mural thrombus in the normal or minimally atherosclerotic aorta. Ann Vasc Surg. 2013;27:282–90.

    Article  PubMed  Google Scholar 

  2. Humbert VH Jr, Tuna IC, Harrison MR, Curtis DB, Webster SA. Aortic tumour in primary anti-phospholipid syndrome. Lancet. 2003;361:1676.

    Article  PubMed  Google Scholar 

  3. Mandegar MH, Roshanali F, Kocharian A. Complicated course consequences of a floating thrombus in ascending aorta. Eur J Echocardiogr. 2008;9:846–8.

    Article  PubMed  Google Scholar 

  4. Chatterjee S, Eagle SS, Adler DH, Byrne JG. Incidental discovery of an ascending aortic thrombus: should this patient undergo surgical intervention? J Thorac Cardiovasc Surg. 2010;140:e14–6.

    Article  PubMed  Google Scholar 

  5. Hausmann D, Gulba D, Bargheer K, Niedermeyer J, Comess KA, Daniel WG. Successful thrombolysis of an aortic-arch thrombus in a patient after mesenteric embolism. N Engl J Med. 1992;327:500–1.

    Article  CAS  PubMed  Google Scholar 

  6. Nakajima M, Tsuchiya K, Honda Y, Koshiyama H, Kobayashi T. Acute pulmonary embolism after cerebral infarction associated with a mobile thrombus in the ascending aorta. Gen Thorac Cardiovasc Surg. 2009;57:654–6.

    Article  PubMed  Google Scholar 

  7. Koster A, Amin-Parsa M, Kaufmann M, Meyer-Jark T, Rudloff M, Diekmann J, et al. Fulminate heparin-induced thrombocytopenia and surgery with deep hypothermic circulatory arrest using bivalirudin. Ann Thorac Surg. 2013;95:1079–81.

    Article  PubMed  Google Scholar 

  8. Ito H, Takahashi K, Sasaki H, Akiho H, Katahira Y, Saito H, et al. Large thrombus in the ascending aorta successfully treated by thrombolysis—an unusual cause of acute massive myocardial infarction. Jpn Circ J. 2001;65:572–4.

    Article  CAS  PubMed  Google Scholar 

  9. Rhee MY, Myong NH, Park YB. Primary intimal sarcoma of the aorta: role of transesophageal echocardiography. Circ J. 2002;66:111–3.

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

None declared.

Author information

Authors and Affiliations

  1. Department of Cardiovascular Surgery, Matsue Red Cross Hospital, 200 Horomachi, Matsue, Shimane, 690-8506, Japan

    Hisao Harada, Takeshi Soeda, Yuhei Saitoh & Takahiro Nakahara

Authors
  1. Hisao Harada
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Takeshi Soeda
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yuhei Saitoh
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Takahiro Nakahara
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hisao Harada.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Harada, H., Soeda, T., Saitoh, Y. et al. Plural large floating thrombi in the ascending aorta. Gen Thorac Cardiovasc Surg 64, 484–487 (2016). https://doi.org/10.1007/s11748-014-0511-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-014-0511-x

Keywords

Search

Navigation