ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Floating thrombus of the ascending aorta after treatment of ureteral carcinoma: A case report
Andrei George Iosifescu1,2, Corina Radu1, Simona Laura Marin3, Roxana Enache2,4
1Department of Cardiac Surgery, Constantin Iliescu Emergency Institute for Cardiovascular Diseases, Bucharest, Romania
2University of Medicine and Pharmacy Carol Davila, Faculty of General Medicine, Bucharest, Romania
3Department of Cardiac Anesthesia and Intensive Care, Constantin Iliescu Emergency Institute for Cardiovascular Diseases, Bucharest, Romania
4Department of Cardiology, Constantin Iliescu Emergency Institute for Cardiovascular Diseases, Bucharest, Romania
DOI : 10.5606/tgkdc.dergisi.2022.23181
An asymptomatic 59-year-old female patient presented with a large floating mass, presumably a thrombus, in the distal ascending aorta. It developed during chemotherapy following nephrectomy for ureteral carcinoma. Due to embolic risks, surgery was indicated. Epiaortic echography revealed embolic risks upon aortic cross-clamping. Aortotomy was performed during brief circulatory arrest under mild hypothermia, followed by safe aortic cross-clamping under direct vision and aortic thrombectomy. The postoperative course was uneventful. Malignancy- and chemotherapy-induced hypercoagulation probably favored thrombus formation. In conclusion, epiaortic echography and short circulatory arrest under tepid hypothermia help to avoid embolic events during ascending aorta thrombectomy.
Keywords : Aorta, aortic surgery, cancer chemotherapy, circulatory arrest, epiaortic echography, floating thrombus
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