A Large Ascending Aorta Thrombus in a Patient with Acute Myocardial Infarction—Case Report

We present the case of a 50-year-old male, with no cardiovascular risk factors other than smoking, that presented with acute chest pain, revealed to be an acute myocardial infarction with a large thrombus located in the ascending aorta. Such findings are rare in a patient with no other afflictions,...

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Main Authors: Horațiu Moldovan, Cristian Bulescu, Andra-Mădălina Sibișan, Robert Țigănașu, Cătălin Cacoveanu, Claudia Nica, Andreea Rachieru, Daniela Gheorghiță, Ondin Zaharia, Șerban Bălănescu, Alexandru Scafa-Udriște
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/57/11/1176
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author Horațiu Moldovan
Cristian Bulescu
Andra-Mădălina Sibișan
Robert Țigănașu
Cătălin Cacoveanu
Claudia Nica
Andreea Rachieru
Daniela Gheorghiță
Ondin Zaharia
Șerban Bălănescu
Alexandru Scafa-Udriște
author_facet Horațiu Moldovan
Cristian Bulescu
Andra-Mădălina Sibișan
Robert Țigănașu
Cătălin Cacoveanu
Claudia Nica
Andreea Rachieru
Daniela Gheorghiță
Ondin Zaharia
Șerban Bălănescu
Alexandru Scafa-Udriște
author_sort Horațiu Moldovan
collection DOAJ
description We present the case of a 50-year-old male, with no cardiovascular risk factors other than smoking, that presented with acute chest pain, revealed to be an acute myocardial infarction with a large thrombus located in the ascending aorta. Such findings are rare in a patient with no other afflictions, such as atherosclerosis, aortic aneurysm, or aortic wall injury (surgical or traumatic). There is no specific pathway regarding the management of ascending aorta thrombus in such a patient; therapeutic options include surgical, interventional, or medical methods. Surgical thrombectomy was performed in this case, considering the high risk of systemic embolism and stroke and the hemodynamic stability of the patient.
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spelling doaj.art-140a158f43cd4ec6a89c633171eb27bc2023-11-23T00:16:51ZengMDPI AGMedicina1010-660X1648-91442021-10-015711117610.3390/medicina57111176A Large Ascending Aorta Thrombus in a Patient with Acute Myocardial Infarction—Case ReportHorațiu Moldovan0Cristian Bulescu1Andra-Mădălina Sibișan2Robert Țigănașu3Cătălin Cacoveanu4Claudia Nica5Andreea Rachieru6Daniela Gheorghiță7Ondin Zaharia8Șerban Bălănescu9Alexandru Scafa-Udriște10Faculty of Medicine and Pharmacy, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, RomaniaFaculty of Medicine and Pharmacy, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, RomaniaDepartment of Cardiovascular Surgery, Clinical Emergency Hospital Bucharest, 014461 Bucharest, RomaniaDepartment of Cardiovascular Surgery, Clinical Emergency Hospital Bucharest, 014461 Bucharest, RomaniaDepartment of Cardiovascular Surgery, Clinical Emergency Hospital Bucharest, 014461 Bucharest, RomaniaDepartment of Cardiovascular Surgery, Clinical Emergency Hospital Bucharest, 014461 Bucharest, RomaniaPonderas Academic Hospital, 014142 Bucharest, RomaniaFaculty of Materials Science and Engineering, Politehnica University of Bucharest, 060042 Bucharest, RomaniaFaculty of Medicine and Pharmacy, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, RomaniaFaculty of Medicine and Pharmacy, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, RomaniaFaculty of Medicine and Pharmacy, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, RomaniaWe present the case of a 50-year-old male, with no cardiovascular risk factors other than smoking, that presented with acute chest pain, revealed to be an acute myocardial infarction with a large thrombus located in the ascending aorta. Such findings are rare in a patient with no other afflictions, such as atherosclerosis, aortic aneurysm, or aortic wall injury (surgical or traumatic). There is no specific pathway regarding the management of ascending aorta thrombus in such a patient; therapeutic options include surgical, interventional, or medical methods. Surgical thrombectomy was performed in this case, considering the high risk of systemic embolism and stroke and the hemodynamic stability of the patient.https://www.mdpi.com/1648-9144/57/11/1176large thrombusascending aortaacute myocardial infarctionsurgical thrombectomy
spellingShingle Horațiu Moldovan
Cristian Bulescu
Andra-Mădălina Sibișan
Robert Țigănașu
Cătălin Cacoveanu
Claudia Nica
Andreea Rachieru
Daniela Gheorghiță
Ondin Zaharia
Șerban Bălănescu
Alexandru Scafa-Udriște
A Large Ascending Aorta Thrombus in a Patient with Acute Myocardial Infarction—Case Report
Medicina
large thrombus
ascending aorta
acute myocardial infarction
surgical thrombectomy
title A Large Ascending Aorta Thrombus in a Patient with Acute Myocardial Infarction—Case Report
title_full A Large Ascending Aorta Thrombus in a Patient with Acute Myocardial Infarction—Case Report
title_fullStr A Large Ascending Aorta Thrombus in a Patient with Acute Myocardial Infarction—Case Report
title_full_unstemmed A Large Ascending Aorta Thrombus in a Patient with Acute Myocardial Infarction—Case Report
title_short A Large Ascending Aorta Thrombus in a Patient with Acute Myocardial Infarction—Case Report
title_sort large ascending aorta thrombus in a patient with acute myocardial infarction case report
topic large thrombus
ascending aorta
acute myocardial infarction
surgical thrombectomy
url https://www.mdpi.com/1648-9144/57/11/1176
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