Free-floating thrombus of the aorta: 3 case reports.

Surgical Case Reports
Naohiko OkiSohsyu Kotani

Abstract

Idiopathic free-floating thrombus (FFT) of the aorta is a rare occurrence, but it can lead to catastrophic consequences. The initial symptoms are typically cerebral or peripheral embolisms. Surgical thrombectomy and thrombolysis are two primary treatments for FFT. Here, we report three cases of patients with idiopathic FFT in the absence of coagulopathy who were treated successfully by surgery with no recurrent thrombi or relapse of symptoms. Case 1 involved a 72-year-old male patient with a pedunculated thrombus in the distal aortic arch. Case 2 involved a 62-year-old female patient with a cylinder thrombus in the aortic arch and left common carotid artery. Case 3 involved a 65-year-old male patient with three pedunculated thrombi in the ascending aorta, aortic arch, and left subclavian artery. None of the patients had clinical signs of coagulopathy. Pedunculated or cylinder thrombi have a greater risk of breaking off, which can produce severe peripheral embolism in contrast with intramural thrombi (73% vs. 12%). Due to the high embolism risk for each patient, conservative medical treatment by heparinization was deemed inappropriate, so each patient underwent emergency surgical thrombus removal. After surgery, each of the thre...Continue Reading

References

Jan 11, 1991·Journal of the American College of Cardiology·D G KaralisG S Mintz
Nov 6, 2002·Annals of Vascular Surgery·E M ChoukrounC Deville
Dec 15, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N TsilimparisR I Rückert
Aug 30, 2012·Annals of Vascular Surgery·Ziad Y FayadMarcus D'Ayala
Sep 27, 2014·Journal of Vascular Surgery·Himanshu VermaRamesh K Tripathi
Jul 30, 2017·Journal of Vascular Surgery·Karol MeyermannJoseph V Lombardi

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