A Case of Symptomatic Mural Thrombus in the Ascending Thoracic Aorta

Masato Suzuki	Yohei Ohkawa	Fumikazu Nomura
Akira Adachi	Kenji Sugiki	Takemi Ohno

（Department of Cardiovascular Surgery, Hokkaido Ohno Hospital＊, Sapporo, Japan）

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.

 

Jpn. J. Cardiovasc. Surg. 45:52-56（2016）

Keywords：thoracic aorta mural thrombus;occlusion of left carotid artery;partial aortic arch replacement