Document Detail


Coincidence of free-floating thrombus in the aortic arch, severe mitral stenosis, and left atrial appendage clot.
MedLine Citation:
PMID:  21859646     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We describe the surgical management of a free-floating thrombus in the aortic arch in a patient with severe mitral stenosis, a left atrial appendage (LAA) clot, and an iliac artery thrombus. A 60-year-old woman complaining of dyspnea and pain in her right leg was referred to our multidisciplinary clinic. After a brief history was taken, an electrocardiography evaluation showed atrial fibrillation. Color Doppler sonography of the lower limb arteries showed decreased blood flow in distal branches of the internal iliac artery of the right leg. Transthoracic and transesophageal echocardiography evaluations revealed severe mitral stenosis, a large LAA clot, and a large mobile mass (2 × 1.5 × 1.5 cm) in the distal aortic arch. Additional investigations with computed tomographic angiography revealed that the thrombus extended from the aortic arch to the subclavian artery. Another bulky thrombus in the right iliac artery was also found. Given this complicated medical situation, emergency cardiac surgery was performed, and the clot was removed. The stenotic mitral valve was replaced with a prosthetic valve, The LAA was closed after clot removal, and the bulky thrombus was extracted from the right iliac artery. Transesophageal echocardiographic data were obtained postoperatively, and the patient's course in the intensive care unit was favorable. She was discharged from the hospital in good condition on warfarin, digoxin, aspirin, and metoprolol.
Authors:
Hamid Reza Taghipour; Maryam Moshkani Farahani; Saeid Ghiasi; Mohammad Hassan Naseri; Faizi Fakhraddin
Related Documents :
17643536 - Pulmonary arteriography for pulmonary embolism diagnosis: "old-fashioned", but it is st...
7407906 - Percutaneous sheath brachial vein cardiac catheterization in children.
23764146 - Paradoxical embolism interrupted.
10973026 - Diagnosis and surgical correction of cor triatriatum in an adult: combined use of trans...
6591736 - Cardioangiography in man using iohexol and meglumine-na diatrizoate. a comparison of he...
9361376 - Effects of coronary angioplasty on monocyte tissue factor response in patients with sta...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The heart surgery forum     Volume:  14     ISSN:  1522-6662     ISO Abbreviation:  Heart Surg Forum     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100891112     Medline TA:  Heart Surg Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E252-4     Citation Subset:  IM    
Affiliation:
Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Aortoesophageal fistula secondary to thoracic endovascular aortic repair of a descending aortic aneu...
Next Document:  Congenital left main coronary artery to coronary sinus fistula.