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Case report: Surgical strategies of a giant thrombus from the ascending aorta to the arch
Large mural thrombi in the relatively normal ascending aorta are extremely uncommon conditions that may lead to major adverse cardiovascular events due to new embolism. Because of their changeable variations, the management of these unstable thrombi is challenging and controversial. The size, morpho...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9996118/ https://www.ncbi.nlm.nih.gov/pubmed/36910530 http://dx.doi.org/10.3389/fcvm.2023.1091303 |
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author | Li, Guanhua Chen, Yingzhen Wang, Haikuo Liu, Yanping Liu, Hangyu Sun, He Wang, Zhiping |
author_facet | Li, Guanhua Chen, Yingzhen Wang, Haikuo Liu, Yanping Liu, Hangyu Sun, He Wang, Zhiping |
author_sort | Li, Guanhua |
collection | PubMed |
description | Large mural thrombi in the relatively normal ascending aorta are extremely uncommon conditions that may lead to major adverse cardiovascular events due to new embolism. Because of their changeable variations, the management of these unstable thrombi is challenging and controversial. The size, morphology, location, embolic involvement, and patients’ conditions are all crucial for therapeutic decision-making. Treatment options include anticoagulation, thrombolysis, surgical thrombectomy, and endovascular stenting. Therefore, surgical strategies should be highly individualized. Herein, we present a rare case of a huge thrombus from the ascending aorta to the arch in a 43-year-old man. Considering the high risks of catastrophic embolic events, surgical removal of the aortic mass, thromboendarterectomy, and reconstruction of the arterial wall were performed with a satisfactory outcome. This report illustrates our experience of surgical strategies and perioperative treatments for this challenging case, and contemporary surgical management for mural thrombi in the ascending aorta was also thoroughly discussed. |
format | Online Article Text |
id | pubmed-9996118 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-99961182023-03-10 Case report: Surgical strategies of a giant thrombus from the ascending aorta to the arch Li, Guanhua Chen, Yingzhen Wang, Haikuo Liu, Yanping Liu, Hangyu Sun, He Wang, Zhiping Front Cardiovasc Med Cardiovascular Medicine Large mural thrombi in the relatively normal ascending aorta are extremely uncommon conditions that may lead to major adverse cardiovascular events due to new embolism. Because of their changeable variations, the management of these unstable thrombi is challenging and controversial. The size, morphology, location, embolic involvement, and patients’ conditions are all crucial for therapeutic decision-making. Treatment options include anticoagulation, thrombolysis, surgical thrombectomy, and endovascular stenting. Therefore, surgical strategies should be highly individualized. Herein, we present a rare case of a huge thrombus from the ascending aorta to the arch in a 43-year-old man. Considering the high risks of catastrophic embolic events, surgical removal of the aortic mass, thromboendarterectomy, and reconstruction of the arterial wall were performed with a satisfactory outcome. This report illustrates our experience of surgical strategies and perioperative treatments for this challenging case, and contemporary surgical management for mural thrombi in the ascending aorta was also thoroughly discussed. Frontiers Media S.A. 2023-02-24 /pmc/articles/PMC9996118/ /pubmed/36910530 http://dx.doi.org/10.3389/fcvm.2023.1091303 Text en Copyright © 2023 Li, Chen, Wang, Liu, Liu, Sun and Wang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Cardiovascular Medicine Li, Guanhua Chen, Yingzhen Wang, Haikuo Liu, Yanping Liu, Hangyu Sun, He Wang, Zhiping Case report: Surgical strategies of a giant thrombus from the ascending aorta to the arch |
title | Case report: Surgical strategies of a giant thrombus from the ascending aorta to the arch |
title_full | Case report: Surgical strategies of a giant thrombus from the ascending aorta to the arch |
title_fullStr | Case report: Surgical strategies of a giant thrombus from the ascending aorta to the arch |
title_full_unstemmed | Case report: Surgical strategies of a giant thrombus from the ascending aorta to the arch |
title_short | Case report: Surgical strategies of a giant thrombus from the ascending aorta to the arch |
title_sort | case report: surgical strategies of a giant thrombus from the ascending aorta to the arch |
topic | Cardiovascular Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9996118/ https://www.ncbi.nlm.nih.gov/pubmed/36910530 http://dx.doi.org/10.3389/fcvm.2023.1091303 |
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