A rare case of free floating thrombus in the aorta and left ventricle – a case report
Objective: Aortic thrombi, though rare, represents a significant medical entity requiring precise diagnosis and management. We describe an intriguing case of cardiac syncope resulting from an free-floating thrombus in the aorta. Case presentation: A 27-year old male smoker presented with recurren...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Center for Scientific Research and Development of Education.
2023-08-01
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| Series: | Heart Vessels and Transplantation |
| Subjects: | |
| Online Access: | https://hvt-journal.com/articles/art412 |
| _version_ | 1797736771521347584 |
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| author | Nihaz Yusuf Nazer Shilpa Suresh Jyothirmayi Bommali Ashita Barthur Ravi Kishore Rajesh K. Rao |
| author_facet | Nihaz Yusuf Nazer Shilpa Suresh Jyothirmayi Bommali Ashita Barthur Ravi Kishore Rajesh K. Rao |
| author_sort | Nihaz Yusuf Nazer |
| collection | DOAJ |
| description | Objective: Aortic thrombi, though rare, represents a significant medical entity requiring precise diagnosis and management. We describe an intriguing case of cardiac syncope resulting from an free-floating thrombus in the aorta.
Case presentation: A 27-year old male smoker presented with recurrent episodes of syncope. Diagnostic investigations (echocardiography, computed tomography, magnetic resonance imaging) unveiled the presence of thrombi within the ascending aorta and the left ventricle. The patient underwent successful surgical removal of free-floating thrombus in aorta and left ventricle. The proper anticoagulation was initiated before and continued after surgery along with antiaggregant therapy to prevent embolization and recurrence.
Conclusion: Given the lack of extensive data, the management of aortic thrombosis remains variable, encompassing strategies ranging from anticoagulant pharmacotherapy to surgical intervention, or a combination of both. The absence of established guidelines further underscores the intricacies in the therapeutic approach to this condition. We delineate the clinical trajectory of the patient who underwent successful surgical excision of the thrombus considering the risk of cerebral and distant embolic phenomenon, which may be life threatening, |
| first_indexed | 2024-03-12T13:18:46Z |
| format | Article |
| id | doaj.art-b374c4a247bd4cc08a6db825b52185cf |
| institution | Directory Open Access Journal |
| issn | 1694-7886 1694-7894 |
| language | English |
| last_indexed | 2024-03-12T13:18:46Z |
| publishDate | 2023-08-01 |
| publisher | Center for Scientific Research and Development of Education. |
| record_format | Article |
| series | Heart Vessels and Transplantation |
| spelling | doaj.art-b374c4a247bd4cc08a6db825b52185cf2023-08-26T09:48:33ZengCenter for Scientific Research and Development of Education.Heart Vessels and Transplantation1694-78861694-78942023-08-017410.24969/hvt.2023.412A rare case of free floating thrombus in the aorta and left ventricle – a case reportNihaz Yusuf Nazer0Shilpa Suresh1Jyothirmayi Bommali2Ashita Barthur3Ravi Kishore4Rajesh K. Rao5Department of Cardiothoracic and Vascular Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Sri Jayadeva institute of cardiovascular sciences and research, Bangalore, Karnataka, IndiaDepartment of Cardiothoracic and Vascular Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Sri Jayadeva institute of cardiovascular sciences and research, Bangalore, Karnataka, IndiaDepartment of Radiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Sri Jayadeva institute of cardiovascular sciences and research, Bangalore, Karnataka, IndiaDepartment of Radiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Sri Jayadeva institute of cardiovascular sciences and research, Bangalore, Karnataka, IndiaDepartment of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Sri Jayadeva institute of cardiovascular sciences and research, Bangalore, Karnataka, IndiaDepartment of Cardiothoracic and Vascular Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Sri Jayadeva institute of cardiovascular sciences and research, Bangalore, Karnataka, IndiaObjective: Aortic thrombi, though rare, represents a significant medical entity requiring precise diagnosis and management. We describe an intriguing case of cardiac syncope resulting from an free-floating thrombus in the aorta. Case presentation: A 27-year old male smoker presented with recurrent episodes of syncope. Diagnostic investigations (echocardiography, computed tomography, magnetic resonance imaging) unveiled the presence of thrombi within the ascending aorta and the left ventricle. The patient underwent successful surgical removal of free-floating thrombus in aorta and left ventricle. The proper anticoagulation was initiated before and continued after surgery along with antiaggregant therapy to prevent embolization and recurrence. Conclusion: Given the lack of extensive data, the management of aortic thrombosis remains variable, encompassing strategies ranging from anticoagulant pharmacotherapy to surgical intervention, or a combination of both. The absence of established guidelines further underscores the intricacies in the therapeutic approach to this condition. We delineate the clinical trajectory of the patient who underwent successful surgical excision of the thrombus considering the risk of cerebral and distant embolic phenomenon, which may be life threatening,https://hvt-journal.com/articles/art412aorta thrombusleft ventricular thrombussurgical thrombectomy |
| spellingShingle | Nihaz Yusuf Nazer Shilpa Suresh Jyothirmayi Bommali Ashita Barthur Ravi Kishore Rajesh K. Rao A rare case of free floating thrombus in the aorta and left ventricle – a case report Heart Vessels and Transplantation aorta thrombus left ventricular thrombus surgical thrombectomy |
| title | A rare case of free floating thrombus in the aorta and left ventricle – a case report |
| title_full | A rare case of free floating thrombus in the aorta and left ventricle – a case report |
| title_fullStr | A rare case of free floating thrombus in the aorta and left ventricle – a case report |
| title_full_unstemmed | A rare case of free floating thrombus in the aorta and left ventricle – a case report |
| title_short | A rare case of free floating thrombus in the aorta and left ventricle – a case report |
| title_sort | rare case of free floating thrombus in the aorta and left ventricle a case report |
| topic | aorta thrombus left ventricular thrombus surgical thrombectomy |
| url | https://hvt-journal.com/articles/art412 |
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