Choi Jong Bum, Choi Soon Ho, Kim Nam Ho, Jeong Jin Won
Department of Thoracic and Cardiovascular Surgery, Wonkwang University Hospital, Iksan, South Korea.
Tex Heart Inst J. 2004;31(4):432-4.
Floating thrombus in the aortic arch is an unusual source of systemic embolism. Surgical removal of the thrombus is a therapeutic option, because thrombolytic therapy carries the risk of partial lysis and repeat embolization. We report a case involving a large floating thrombus that originated in the proximal aortic arch and extended into the left subclavian artery and the descending aorta, and we discuss the surgical management.
主动脉弓内的漂浮血栓是一种不常见的全身栓塞来源。手术切除血栓是一种治疗选择,因为溶栓治疗存在部分溶解和再次栓塞的风险。我们报告一例涉及起源于主动脉弓近端并延伸至左锁骨下动脉和降主动脉的大型漂浮血栓的病例,并讨论其手术治疗。