Large mural thrombus in the non-aneurysmal and non-atherosclerotic ascending aorta: a case report
Abstract Background The mural thrombus in the ascending aorta is rare, most of which are associated with aneurysm or atherosclerotic lesions, with high risks of causing catastrophic thrombotic events. A mural thrombus in the non-aneurysmal and non-atherosclerotic ascending aorta is exceptionally unc...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-07-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-021-01585-w |
| _version_ | 1829510062237810688 |
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| author | Xiaoyi Dai Chengyao Ni Wenzong Luo Sihan Miao Liang Ma |
| author_facet | Xiaoyi Dai Chengyao Ni Wenzong Luo Sihan Miao Liang Ma |
| author_sort | Xiaoyi Dai |
| collection | DOAJ |
| description | Abstract Background The mural thrombus in the ascending aorta is rare, most of which are associated with aneurysm or atherosclerotic lesions, with high risks of causing catastrophic thrombotic events. A mural thrombus in the non-aneurysmal and non-atherosclerotic ascending aorta is exceptionally uncommon. Case presentation We reported a large mural thrombus in normal ascending aorta of an asymptomatic patient. Preoperative imaging confirmed the presence of the sessile thrombus located at the left anterior wall of ascending aorta. Given that it had the potential to cause fatal thrombotic complications, surgical removal and segment of ascending aorta replacement were executed. The patient had an uneventful recovery and discharged 14 days after surgery. Conclusions Anticoagulant is the therapeutic cornerstone of ascending aortic thrombus, but surgery should be performed aggressively when the thrombus is large or floating to avoid severe embolic complications or recurrence. |
| first_indexed | 2024-12-16T11:58:13Z |
| format | Article |
| id | doaj.art-c242610491ac4dcd8ff9c6aed9de5f02 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-16T11:58:13Z |
| publishDate | 2021-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-c242610491ac4dcd8ff9c6aed9de5f022022-12-21T22:32:31ZengBMCJournal of Cardiothoracic Surgery1749-80902021-07-011611410.1186/s13019-021-01585-wLarge mural thrombus in the non-aneurysmal and non-atherosclerotic ascending aorta: a case reportXiaoyi Dai0Chengyao Ni1Wenzong Luo2Sihan Miao3Liang Ma4Department of Cardiovascular Surgery, the First Affiliated Hospital, School of Medicine, Zhejiang UniversityDepartment of Cardiovascular Surgery, the First Affiliated Hospital, School of Medicine, Zhejiang UniversityDepartment of Cardiovascular Surgery, the First Affiliated Hospital, School of Medicine, Zhejiang UniversityDepartment of Cardiovascular Surgery, the First Affiliated Hospital, School of Medicine, Zhejiang UniversityDepartment of Cardiovascular Surgery, the First Affiliated Hospital, School of Medicine, Zhejiang UniversityAbstract Background The mural thrombus in the ascending aorta is rare, most of which are associated with aneurysm or atherosclerotic lesions, with high risks of causing catastrophic thrombotic events. A mural thrombus in the non-aneurysmal and non-atherosclerotic ascending aorta is exceptionally uncommon. Case presentation We reported a large mural thrombus in normal ascending aorta of an asymptomatic patient. Preoperative imaging confirmed the presence of the sessile thrombus located at the left anterior wall of ascending aorta. Given that it had the potential to cause fatal thrombotic complications, surgical removal and segment of ascending aorta replacement were executed. The patient had an uneventful recovery and discharged 14 days after surgery. Conclusions Anticoagulant is the therapeutic cornerstone of ascending aortic thrombus, but surgery should be performed aggressively when the thrombus is large or floating to avoid severe embolic complications or recurrence.https://doi.org/10.1186/s13019-021-01585-wThrombusAscending aortaNon-atheroscleroticSessileCase report |
| spellingShingle | Xiaoyi Dai Chengyao Ni Wenzong Luo Sihan Miao Liang Ma Large mural thrombus in the non-aneurysmal and non-atherosclerotic ascending aorta: a case report Journal of Cardiothoracic Surgery Thrombus Ascending aorta Non-atherosclerotic Sessile Case report |
| title | Large mural thrombus in the non-aneurysmal and non-atherosclerotic ascending aorta: a case report |
| title_full | Large mural thrombus in the non-aneurysmal and non-atherosclerotic ascending aorta: a case report |
| title_fullStr | Large mural thrombus in the non-aneurysmal and non-atherosclerotic ascending aorta: a case report |
| title_full_unstemmed | Large mural thrombus in the non-aneurysmal and non-atherosclerotic ascending aorta: a case report |
| title_short | Large mural thrombus in the non-aneurysmal and non-atherosclerotic ascending aorta: a case report |
| title_sort | large mural thrombus in the non aneurysmal and non atherosclerotic ascending aorta a case report |
| topic | Thrombus Ascending aorta Non-atherosclerotic Sessile Case report |
| url | https://doi.org/10.1186/s13019-021-01585-w |
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