Sudden Cardiac Arrest Due to Ascending Aortic Thrombus Originating From Penetrating Aortic Ulcer

Lily K Stern; Natasha Cuk; Paul J Marano; Alan C Kwan; Evelyn J Song; Dominick J Megna; Susan Cheng

doi:10.1016/j.jaccas.2021.08.002

Sudden Cardiac Arrest Due to Ascending Aortic Thrombus Originating From Penetrating Aortic Ulcer

JACC Case Rep. 2021 Oct 20;3(14):1617-1621. doi: 10.1016/j.jaccas.2021.08.002.

Authors

Lily K Stern¹, Natasha Cuk¹, Paul J Marano¹, Alan C Kwan¹, Evelyn J Song², Dominick J Megna³, Susan Cheng¹

Affiliations

¹ Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA.
² Department of Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
³ Department of Cardiac Surgery, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA.

Abstract

Penetrating aortic ulcers typically occur in severely diseased vessels. We present the case of a 46-year-old woman, without extensive atherosclerosis, who had sudden cardiac arrest related to ischemia from a mobile intraluminal aortic thrombus adherent to a penetrating ulcer in the ascending aorta. (Level of Difficulty: Intermediate.).

Keywords: CMR, cardiac magnetic resonance; CTA, computed tomographic angiography; ED, emergency department; PAU, penetrating aortic ulcer; RCA, right coronary artery; SCA, sudden cardiac arrest; TEE, transesophageal echocardiogram; VF, ventricular fibrillation; aorta; cardiovascular disease; imaging; myocardial ischemia; secondary prevention; thrombus; vascular disease; ventricular fibrillation.

Publication types

Case Reports