Kalangos A, Baldovinos A, Vuille C, Montessuit M, Faidutti B
Department of Surgery, University Cantonal Hospital of Geneva, Switzerland.
J Vasc Surg. 1997 Jul;26(1):150-4. doi: 10.1016/s0741-5214(97)70161-7.
The ascending aorta may be the site of origin of systemic embolization in some cases that do not have an identifiable source. We report a case in which a free-floating thrombus in the noncoronary sinus of Valsalva was detected by transesophageal echocardiography as a source of left axillary artery embolism. After removal of this pedunculated thrombus of unknown cause, which was attached on a macroscopically and histologically normal aortic wall, the patient made an uneventful recovery.
在某些没有明确栓子来源的病例中，升主动脉可能是全身栓塞的起源部位。我们报告一例经食管超声心动图检测发现，位于主动脉瓣无冠窦内的一个游离血栓是左腋动脉栓塞的栓子来源。在切除这个附着于大体和组织学均正常主动脉壁上的不明原因带蒂血栓后，患者顺利康复。
