A Case of Symptomatic Mural Thrombus in the Ascending Thoracic Aorta
10.4326/jjcvs.45.52
- VernacularTitle:上行大動脈内血栓症の1例
- Author:
Masato Suzuki
;
Yohei Ohkawa
;
Fumikazu Nomura
;
Akira Adachi
;
Kenji Sugiki
;
Takemi Ohno
- Publication Type:Journal Article
- Keywords:
thoracic aorta mural thrombus;
occlusion of left carotid artery;
partial aortic arch replacement
- From:Japanese Journal of Cardiovascular Surgery
2016;45(1):52-56
- CountryJapan
- Language:Japanese
-
Abstract:
Fifty-two-year-old man who suffered from headache and left neck pain was brought to a nearby hospital by ambulance. Anisocoria and disorder in the field of view of the left eye were observed. Emergency brain MRA showed obstruction of the left internal carotid artery. The patient was transported to our hospital for emergency surgery for suspected acute type A aortic dissection on CT scan. Operative findings revealed a thrombus attached to the ascending aorta continued to left common carotid artery. Thrombectomy for left carotid artery and partial arch replacement were performed. The patient was discharged in good condition on the 16th postoperative day. We encountered a very rare mural thrombus in the ascending aorta.
