Embolic strokes in a patient with a large floating thrombus in the ascending aorta.
IF 0.4 4区 医学Q3 MEDICINE, GENERAL & INTERNALHippokratiaPub Date : 2021-10-01
N Christou, I Gourgiotis, K Dakis, C Liasidis
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引用次数: 0
Abstract
Background: A floating thrombus in the ascending aorta is a rare finding that may cause multiple ischemic strokes with catastrophic consequences. The treatment algorithm for such lesions is yet to be defined.
Case report: We report the case of a 50-year-old patient with multiple cerebral ischemic strokes due to a sizeable floating thrombus (25 x 15 x 13 mm) in the ascending aorta. Conservative management utilizing anticoagulants was chosen due to the patient's high estimated perioperative risk.
Conclusion: An anticoagulation treatment strategy may be feasible, safe, and effective in patients with large mobile thrombus in the aorta who are not eligible for thrombectomy. HIPPOKRATIA 2021, 25 (3):172-174.
背景：升主动脉中的漂浮血栓是一种罕见的发现，可能会导致多发性缺血性中风，并带来灾难性后果。这种病变的治疗算法尚待确定。病例报告：我们报告了一例50岁的患者，由于升主动脉中有相当大的漂浮血栓（25 x 15 x 13 mm），导致多发性脑缺血性中风。由于患者的围手术期风险估计较高，因此选择了使用抗凝剂的保守治疗。结论：对于不适合行血栓切除术的主动脉大面积可移动血栓患者，抗凝治疗策略可能是可行、安全、有效的。希波克拉蒂亚2021，25（3）：172-174。
期刊介绍：
Hippokratia journal is a quarterly issued, open access, peer reviewed, general medical journal, published in Thessaloniki, Greece. It is a forum for all medical specialties. The journal is published continuously since 1997, its official language is English and all submitted manuscripts undergo peer review by two independent reviewers, assigned by the Editor (double blinded review process).
Hippokratia journal is managed by its Editorial Board and has an International Advisory Committee and over 500 expert Reviewers covering all medical specialties and additionally Technical Reviewers, Statisticians, Image processing Experts and a journal Secretary. The Society “Friends of Hippokratia Journal” has the financial management of both the printed and electronic edition of the journal.
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