升主动脉巨大血栓：一例报告及文献综述
Huge thrombus in the ascending aorta: a case report and literature review.
作者信息
Wang Baogang, Ma Dashi, Cao Dianbo, Man Xiaxia
机构信息
First Hospital Jilin University, Changchun, 130021, People's Republic of China.
出版信息
J Cardiothorac Surg. 2019 Sep 4;14(1):157. doi: 10.1186/s13019-019-0975-y.
BACKGROUND
A floating thrombus in the ascending aorta is occasionally found in clinical practice. The treatment for such lesions is poorly defined and mainly depends on the clinical experience of the surgeons.
CASE PRESENTATION
We herein report a case involving a 22- × 22- × 45-mm space-occupying lesion in the ascending aorta. The patient was successfully treated with surgical intervention. Thrombectomy and ascending aorta replacement were performed to prevent systemic embolization. Histopathological examination revealed that the lesion was a thrombus.
CONCLUSIONS
Aortic computed tomography angiography is a useful examination technique for patients with aortic thrombi. Resection of the thrombus can effectively reduce the risk of recurrent embolism.
背景
升主动脉内漂浮血栓在临床实践中偶尔会被发现。此类病变的治疗方法尚不明确，主要取决于外科医生的临床经验。
病例报告
我们在此报告一例升主动脉内有一个22×22×45毫米占位性病变的病例。该患者通过手术干预成功治愈。进行了血栓切除术和升主动脉置换术以预防全身栓塞。组织病理学检查显示该病变为血栓。
结论
主动脉计算机断层扫描血管造影术是诊断主动脉血栓患者的一种有用检查技术。切除血栓可有效降低复发性栓塞的风险。
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