Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Floating Thrombus in the Ascending Aorta of the Patient with Systemic Sclerosis - A case report -

  • Lee, Sub (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu) ;
  • Cho, Jun-Woo (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu) ;
  • Kwon, Oh-Choon (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Catholic University of Daegu)
  • Received : 2010.05.19
  • Accepted : 2010.11.23
  • Published : 2011.02.05
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Abstract

Aortic thrombi are important because it can cause the central and peripheral embolizations. Aortic thrombi can occur anywhere in the aorta but extremely rare in ascending aorta without atherosclerosis, aneurysm, cardiosurgical or traumatic state. Systemic sclerosis (SSc) is an autoimmune disorder of connective tissue and it can involve multisystem. Enhanced coagulation pathways, decreased fibrinolysis, and endothelial dysfunction probably contribute to vascular events in SSc. We report a case of a highly mobile thrombus in the ascending aorta, presented as an acute embolic stroke in the patient with systemic sclerosis. Surgical removal was performed to prevent recurrent embolic events.

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References

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  3. Aortogenic cerebral embolism treated by ascending aorta replacement in an 80-year-old male vol.39, pp.2, 2017, https://doi.org/10.3995/jstroke.10418