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Massive Intraoperative Thrombus of the Aortic Arch and Proximal Descending Aorta
Author(s) -
Reineke David C.,
Grapow Martin T.R.,
Schumann Martin,
Seeberger Manfred D.,
Carrel Thierry P.
Publication year - 2009
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2008.00750.x
Subject(s) - medicine , thrombus , ascending aorta , cardiology , aortic arch , descending aorta , stent , thrombosis , aorta , cardiopulmonary bypass , aortic valve , surgery
A 49‐year‐old male patient presented with a paravalvular leakage 18 years after aortic valve replacement. The patient received a mechanical valve and was weaned uneventfully from cardiopulmonary bypass. After a drop in the pressure curve of the left radial artery an additional line was placed in the proximal ascending aorta showing normal systemic pressure. Transesophageal echocardiography showed a massive circular thrombosis of the distal aortic arch. The patient received a covered stent to expand the residual aortic lumen and left the hospital in good health.