Journal of Chest Surgery

  • 제44권1호
  • /
  • Pages.72-75
  • /
  • 2011
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  • 2765-1606(pISSN)
  • /
  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
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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)
  • 투고 : 2010.05.19
  • 심사 : 2010.11.23
  • 발행 : 2011.02.05
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초록

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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참고문헌

  1. Soleimani A, Marzban M, Sahebjam M, Shirani S, Sotoudeh-Anvari M, Abbasi A. Floating thrombus in the aortic arch as an origin of simultaneous peripheral emboli. J Card Surg 2008;23:762-4.
  2. Choi JB, Choi SH, Kim NH, Jeong JW. Floating thrombus in the proximal aortic arch. Tex Heart Inst J 2004;31:432-4.
  3. Renard D, Heroum C. Carotid thrombus formation and extension during anticoagulation, a case report of large vessel disease and hypercoagulable state in systemic sclerosis. Acta Neurol Belg 2007;107:55-7.
  4. Ryu YG, Chung CH, Choo SJ, Kim YS, Song JK. A case of antiphospholipid syndrome presenting with a floating thrombus in the ascending aorta. J Thorac Cardiovasc Surg 2009;137:500-2. https://doi.org/10.1016/j.jtcvs.2008.01.028
  5. Kalangos A, Baldovinos A, Vuille C, et al. Floating thrombus in the ascending aorta. A rare cause of peripheral emboli. J Vasc Surg 1997;26:150-4. https://doi.org/10.1016/S0741-5214(97)70161-7

피인용 문헌

  1. Floating Thrombus in Aortic Arch vol.46, pp.6, 2011, https://doi.org/10.5090/kjtcs.2013.46.6.464
  2. Surgical treatment for thoracoabdominal intra-aortic thrombus with multiple infarctions: a case report vol.10, pp.1, 2011, https://doi.org/10.1186/s13256-016-1017-1
  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