IMAGES IN CARDIO-THORACIC SURGERY
European Journal of Cardio-Thoracic Surgery 47 (2015) 582 doi:10.1093/ejcts/ezu204 Advance Access publication 12 May 2014
Cite this article as: Haida H, Inoue Y, Kawajiri H, Suzuki S. Rod-shaped giant floating thrombus in a normal ascending aorta. Eur J Cardiothorac Surg 2015;47:582.
Rod-shaped giant floating thrombus in a normal ascending aorta Hirofumi Haida*, Yoshito Inoue, Hiroyuki Kawajiri and Satoru Suzuki Department of Cardiovascular Surgery, Hiratsuka City Hospital, Hiratsuka, Japan * Corresponding author. Department of Cardiovascular Surgery, Hiratsuka City Hospital, Minamihara 1-19-1, Hiratsuka, Kanagawa, Japan. Tel: +81-463-320015; fax: +81-463-314585; e-mail: [email protected] (H. Haida). Received 3 February 2014; received in revised form 26 March 2014; accepted 9 April 2014
Keywords: Floating rod-shaped thrombus • Ascending aorta • Thrombectomy
A 70-year old female presented with an acute thrombosis of toe. Contrasted 3D computed tomography scan revealed a rod-shaped floating mass in a normal ascending aorta (Fig. 1). Urgent thromb-
Figure 1: 320-slice computed tomographic angiography shows a giant floating ascending aortic mass (66 × 18 × 16 mm), with distal edge progressing deeply into the left carotid artery. (A) Axial, (B) sagittal and (C) three-dimensional reconstruction.
ectomy was performed successfully under deep hypothermic circulatory arrest (Fig. 2). She fully recovered without any neurological disturbances, and no recurrence of thrombus within 12 months was observed.
Figure 2: Intraoperative picture. We chose right axillary artery cannulation to prevent further cerebral embolism. The mass was 7 cm long, the distal edge stuck into the left carotid artery (white asterisk). The mass was attached loosely to the ascending aorta, and it was pulled out easily with forceps. Ascending aorta had no macroscopic signs of atherosclerosis or intramural haematoma. Pathological examination confirmed that the mass was fresh thrombus. Black arrow: head.
© The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
European Journal of Cardio-Thoracic Surgery 47 (2015) 582 doi:10.1093/ejcts/ezu204 Advance Access publication 12 May 2014
Cite this article as: Haida H, Inoue Y, Kawajiri H, Suzuki S. Rod-shaped giant floating thrombus in a normal ascending aorta. Eur J Cardiothorac Surg 2015;47:582.
Rod-shaped giant floating thrombus in a normal ascending aorta Hirofumi Haida*, Yoshito Inoue, Hiroyuki Kawajiri and Satoru Suzuki Department of Cardiovascular Surgery, Hiratsuka City Hospital, Hiratsuka, Japan * Corresponding author. Department of Cardiovascular Surgery, Hiratsuka City Hospital, Minamihara 1-19-1, Hiratsuka, Kanagawa, Japan. Tel: +81-463-320015; fax: +81-463-314585; e-mail: [email protected] (H. Haida). Received 3 February 2014; received in revised form 26 March 2014; accepted 9 April 2014
Keywords: Floating rod-shaped thrombus • Ascending aorta • Thrombectomy
A 70-year old female presented with an acute thrombosis of toe. Contrasted 3D computed tomography scan revealed a rod-shaped floating mass in a normal ascending aorta (Fig. 1). Urgent thromb-
Figure 1: 320-slice computed tomographic angiography shows a giant floating ascending aortic mass (66 × 18 × 16 mm), with distal edge progressing deeply into the left carotid artery. (A) Axial, (B) sagittal and (C) three-dimensional reconstruction.
ectomy was performed successfully under deep hypothermic circulatory arrest (Fig. 2). She fully recovered without any neurological disturbances, and no recurrence of thrombus within 12 months was observed.
Figure 2: Intraoperative picture. We chose right axillary artery cannulation to prevent further cerebral embolism. The mass was 7 cm long, the distal edge stuck into the left carotid artery (white asterisk). The mass was attached loosely to the ascending aorta, and it was pulled out easily with forceps. Ascending aorta had no macroscopic signs of atherosclerosis or intramural haematoma. Pathological examination confirmed that the mass was fresh thrombus. Black arrow: head.
© The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
