Surgery for a Large Thrombus in the Ascending Aorta with Acute Arterial Occlusive Disease

Yoshimasa Oda	Hitoshi Oteki	Kozo Naito
Zyunichi Murayama	Toshihiro Fukui	Manabu Sato

（Department of Thoracic and Cardiovascular Surgery, Saga Medical Centre Koseikan＊, Saga, Japan）

We report a rare case of a large thrombus in the ascending aorta with acute arterial occlusive disease. A 61-year-old man was transferred to our hospital with sudden pain and cyanosis. Contrast-enhanced computed tomography detected left ulnar arterial occlusion and a large mass in the ascending aorta, so we performed surgery to remove the large thrombus under cardiopulmonary bypass. Histologically, the mass was a fibrin thrombus. In addition, thickened endothelial lining and slight atheromatous degeneration was detected in the resected aortic wall. The patient was discharged from the hospital on postoperative day 22.

 

Jpn. J. Cardiovasc. Surg. 45:251-253（2016）

Keywords：aorta thrombus;acute arterial occlusive diseases;thrombectomy