• Medicina · Oct 2021

    Case Reports

    A Large Ascending Aorta Thrombus in a Patient with Acute Myocardial Infarction-Case Report.

    • Horațiu Moldovan, Cristian Bulescu, Andra-Mădălina Sibișan, Robert Țigănașu, Cătălin Cacoveanu, Claudia Nica, Andreea Rachieru, Daniela Gheorghiță, Ondin Zaharia, Șerban Bălănescu, and Alexandru Scafa-Udriște.
    • Faculty of Medicine and Pharmacy, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.
    • Medicina (Kaunas). 2021 Oct 28; 57 (11).

    AbstractWe present the case of a 50-year-old male, with no cardiovascular risk factors other than smoking, that presented with acute chest pain, revealed to be an acute myocardial infarction with a large thrombus located in the ascending aorta. Such findings are rare in a patient with no other afflictions, such as atherosclerosis, aortic aneurysm, or aortic wall injury (surgical or traumatic). There is no specific pathway regarding the management of ascending aorta thrombus in such a patient; therapeutic options include surgical, interventional, or medical methods. Surgical thrombectomy was performed in this case, considering the high risk of systemic embolism and stroke and the hemodynamic stability of the patient.

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