Catastrophic consequences of a free floating thrombus in ascending aorta

P Bruno, Massimo Massetti, G Babatasi, A. Khayat

Risultato della ricerca: Contributo in rivistaArticolo in rivista

39 Citazioni (Scopus)


Floating masses in ascending aorta are an uncommon source of embolism. We report the case of a 46-year-old woman, smoker, on synthetic progestagen, with no previous history of thrombotic events, who was admitted to our emergency department for an acute anterior myocardial infarction. Coronary angiogram showed occlusion of left main coronary trunk. Recanalization of the artery was obtained. Ascending aorta angiogram revealed a free floating mass attached to the aortic wall without evidence of aortic dissection. Transesophageal echocardiography confirmed the presence of a pedunculated mobile mass attached to the aortic wall superior to the left coronary ostium. The patient underwent urgent surgery. Intraoperatively a floating thrombus was localized in the posterior wall of ascending aorta. At macroscopical examination aortic wall and leaflets were normal. Post-operative low cardiac output refractory to inotropic drugs and intraaortic balloon counterpulsation required a circulatory assist device. Consequences for the patient were catastrophic in terms of outcome.
Lingua originaleEnglish
pagine (da-a)99-101
Numero di pagine3
RivistaEuropean Journal of Cardio-thoracic Surgery
Stato di pubblicazionePubblicato - 2001


  • Aorta
  • Aortic Diseases
  • Coronary Thrombosis
  • Fatal Outcome
  • Female
  • Humans
  • Middle Aged
  • Myocardial Infarction
  • Postoperative Complications
  • Reoperation
  • Shock, Cardiogenic
  • Thrombosis


Entra nei temi di ricerca di 'Catastrophic consequences of a free floating thrombus in ascending aorta'. Insieme formano una fingerprint unica.

Cita questo