Total arch replacement for the treatment of a giant protruding thrombus in the thoracic aorta derived from an atherosclerotic lesion

Sarii Tsubone; Akira Fujita; Shigeru Ikenaga

doi:10.1007/s11748-020-01340-3

Total arch replacement for the treatment of a giant protruding thrombus in the thoracic aorta derived from an atherosclerotic lesion

Gen Thorac Cardiovasc Surg. 2020 Dec;68(12):1503-1505. doi: 10.1007/s11748-020-01340-3. Epub 2020 Mar 21.

Authors

Sarii Tsubone¹, Akira Fujita¹, Shigeru Ikenaga²

Affiliations

¹ Tokuyama Central Hospital, 1-1 Ko-da chou, Shunan, Yamaguchi, Japan.
² Tokuyama Central Hospital, 1-1 Ko-da chou, Shunan, Yamaguchi, Japan. ikenaga111@gmail.com.

PMID: 32200521
DOI: 10.1007/s11748-020-01340-3

Abstract

A thoracic aortic thrombus is rare. The causes of this condition and the feasible options for its treatment remain controversial. Preventing embolic complications are the most important for the management of thoracic aortic thrombi. Herein, we report a case of a giant protruding thrombus in the thoracic aorta. We suggest total arch replacement (TAR) using an open stent graft (OSG) as a favorable management technique for thoracic aortic thrombi. We also recommend bilateral axillary artery cannulation to prevent cerebral infarction.

Keywords: Open stent graft; Thoracic thrombus.

Publication types

Case Reports

MeSH terms

Aorta, Thoracic / diagnostic imaging
Aorta, Thoracic / surgery
Aortic Aneurysm, Thoracic* / surgery
Atherosclerosis*
Blood Vessel Prosthesis Implantation*
Humans
Stents
Thrombosis* / diagnostic imaging
Thrombosis* / etiology
Thrombosis* / surgery
Treatment Outcome