1.A Case of Tumor-Like Thrombus in the Distal Aortic Arch
Sohei Hamanaka ; Kazuo Tanemoto ; Hisao Masaki ; Ichirou Morita ; Atsushi Tabuchi ; Atsuhisa Ishida ; Eishun Shishido ; Hiroshi Kubo
Japanese Journal of Cardiovascular Surgery 2004;33(1):61-63
We report a 65-year-old man with a mobile thrombus in the distal aortic arch with no previous history of thromboembolic events. There was no evidence of either aneurysmal changes or aortic dissection. Transesophageal echocardiography revealed the presence of a mobile tumor in the distal arch. The patient underwent elective resection. The mobile tumor was attached to the aortic wall, approximately 3cm distal to the left subclavian artery. Histological examination revealed an old thrombus containing calcification. He was discharged on the 22nd postoperative day with no thromboembolic complications. This is the first report of a case of mobile thrombus in the distal aortic arch in Japan.
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