Mural Thrombosis in the Ascending Aorta Revealed by Cerebral Infarction : a Case Report
- VernacularTitle:脳梗塞を契機に発見された上行大動脈内血栓症の1例
- Author:
Kentaro KASA
1
;
Shigeru SHINOZAKI
1
;
Suguru WATANABE
1
Author Information
- Keywords: mural thrombosis in the ascending aorta; occlusion of internal carotid artery; occlusion of vertebral artery; ascending aortic replacement
- From:Japanese Journal of Cardiovascular Surgery 2020;49(5):300-304
- CountryJapan
- Language:Japanese
- Abstract: A fifty-seven-year-old male farmer with a history of cerebral infarctions twice in the past without any functional disability stopped prescribed antithrombotics and regular medical follow-up. He had sudden left hemiplegia after the work, and was taken to our hospital. A contrast-enhanced computed tomography (CT) scan showed infarction at the right basal ganglia, occlusion of the internal carotid artery and the left vertebral artery, and mural thrombus in the ascending aorta. Mural thrombus in the ascending aorta was suspected to be the causative thrombus of other infarctions. He was started on continuous heparin infusion on the day of presentation, and had ascending aortic replacement surgery on day 24. No perioperative complication was confirmed. He was extubated on postoperative day (POD) 1, and was transferred to another rehabilitation hospital with almost no functional disability. No thrombotic event was confirmed as of POD 180.
