Multiple Ascending Aortic Mural Thrombi and Acute Necrotizing Mediastinitis Secondary to Acute Pancreatitis

The formation of aortic thrombi is an extremely rare complication of acute pancreatitis. Here we report a case of acute pancreatitis complicated by a paraesophageal pseudocyst, necrotizing mediastinitis, and the formation of multiple thrombi in the ascending aorta. The patient was successfully tre...

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Main Authors: Byung Kwon Chong, Jae Kwang Yun, Joon Bum Kim, Do Hyun Park
Format: Article
Language:English
Published: Korean Society for Thoracic and Cardiovascular Surgery 2016-10-01
Series:Korean Journal of Thoracic and Cardiovascular Surgery
Subjects:
Online Access:http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2016.49.5.401
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author Byung Kwon Chong
Jae Kwang Yun
Joon Bum Kim
Do Hyun Park
author_facet Byung Kwon Chong
Jae Kwang Yun
Joon Bum Kim
Do Hyun Park
author_sort Byung Kwon Chong
collection DOAJ
description The formation of aortic thrombi is an extremely rare complication of acute pancreatitis. Here we report a case of acute pancreatitis complicated by a paraesophageal pseudocyst, necrotizing mediastinitis, and the formation of multiple thrombi in the ascending aorta. The patient was successfully treated by surgical therapy, which included extensive debridement of the mediastinum and removal of the aortic thrombi under cardiopulmonary bypass. Although esophageal resection was not carried out concomitantly, the lesions were resolved and the patient remained free of complications over 2 years of follow-up care.
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spelling doaj.art-21a76190e21b47a9bb6d76dad08cca382022-12-22T00:53:33ZengKorean Society for Thoracic and Cardiovascular SurgeryKorean Journal of Thoracic and Cardiovascular Surgery2233-601X2093-65162016-10-0149540140410.5090/kjtcs.2016.49.5.401Multiple Ascending Aortic Mural Thrombi and Acute Necrotizing Mediastinitis Secondary to Acute PancreatitisByung Kwon Chong0Jae Kwang Yun1Joon Bum Kim2Do Hyun Park3Asan Medical CenterAsan Medical CenterAsan Medical CenterAsan Medical CenterThe formation of aortic thrombi is an extremely rare complication of acute pancreatitis. Here we report a case of acute pancreatitis complicated by a paraesophageal pseudocyst, necrotizing mediastinitis, and the formation of multiple thrombi in the ascending aorta. The patient was successfully treated by surgical therapy, which included extensive debridement of the mediastinum and removal of the aortic thrombi under cardiopulmonary bypass. Although esophageal resection was not carried out concomitantly, the lesions were resolved and the patient remained free of complications over 2 years of follow-up care.http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2016.49.5.401PancreatitisAcute NecrotizingAortaThrombosisMediastinitisEsophageal Diseases
spellingShingle Byung Kwon Chong
Jae Kwang Yun
Joon Bum Kim
Do Hyun Park
Multiple Ascending Aortic Mural Thrombi and Acute Necrotizing Mediastinitis Secondary to Acute Pancreatitis
Korean Journal of Thoracic and Cardiovascular Surgery
Pancreatitis
Acute Necrotizing
Aorta
Thrombosis
Mediastinitis
Esophageal Diseases
title Multiple Ascending Aortic Mural Thrombi and Acute Necrotizing Mediastinitis Secondary to Acute Pancreatitis
title_full Multiple Ascending Aortic Mural Thrombi and Acute Necrotizing Mediastinitis Secondary to Acute Pancreatitis
title_fullStr Multiple Ascending Aortic Mural Thrombi and Acute Necrotizing Mediastinitis Secondary to Acute Pancreatitis
title_full_unstemmed Multiple Ascending Aortic Mural Thrombi and Acute Necrotizing Mediastinitis Secondary to Acute Pancreatitis
title_short Multiple Ascending Aortic Mural Thrombi and Acute Necrotizing Mediastinitis Secondary to Acute Pancreatitis
title_sort multiple ascending aortic mural thrombi and acute necrotizing mediastinitis secondary to acute pancreatitis
topic Pancreatitis
Acute Necrotizing
Aorta
Thrombosis
Mediastinitis
Esophageal Diseases
url http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2016.49.5.401
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