Aortic Floating White Thrombus in an Ascending Aortic Graft After Aortoplasty

Daiki Saitoh; Naoya Sakoda; Azuma Tabayashi; Junichi Koizumi; Satoshi Ohsawa; Hajime Kin

doi:10.1016/j.atssr.2023.07.003

Aortic Floating White Thrombus in an Ascending Aortic Graft After Aortoplasty

Ann Thorac Surg Short Rep. 2023 Aug 3;1(4):610-612. doi: 10.1016/j.atssr.2023.07.003. eCollection 2023 Dec.

Authors

Daiki Saitoh¹, Naoya Sakoda¹, Azuma Tabayashi¹, Junichi Koizumi¹, Satoshi Ohsawa², Hajime Kin¹

Affiliations

¹ Department of Cardiovascular Surgery, Iwate Medical University, Iwate, Japan.
² Department of Cardiovascular Surgery, San-ai Hospital, Iwate, Japan.

Abstract

We encountered a 75-year-old man who underwent total arch replacement for a thoracic aortic aneurysm, then ascending aortoplasty for hemolysis due to a kinked ascending aortic graft. He presented with exhaustion and anemia 3 years later. Computed tomography revealed a large floating thrombus in the ascending aortic graft attached to the dorsal suture line. The thrombus developed after the graft kink was released, and although the dorsal mural thrombus disappeared, a floating white thrombus remained. Clinicians should ensure that the ascending graft is in a natural position without bending or kinking to reduce the risk of postoperative thrombus formation.

Publication types

Case Reports