A Large Ascending Aorta Thrombus in a Patient with Acute Myocardial Infarction—Case Report

We present the case of a 50-year-old male, with no cardiovascular risk factors other than smoking, that presented with acute chest pain, revealed to be an acute myocardial infarction with a large thrombus located in the ascending aorta. Such findings are rare in a patient with no other afflictions,...

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Published in:Medicina (Kaunas, Lithuania) Lithuania), 2021-11, Vol.57 (11), p.1176
Main Authors: Moldovan, Horațiu, Bulescu, Cristian, Sibișan, Andra-Mădălina, Țigănașu, Robert, Cacoveanu, Cătălin, Nica, Claudia, Rachieru, Andreea, Gheorghiță, Daniela, Zaharia, Ondin, Bălănescu, Șerban, Scafa-Udriște, Alexandru
Format: Article
Language:English
Subjects:
acute myocardial infarction
Aneurysms
Angioplasty
Aortic dissection
ascending aorta
Blood clots
Cardiology
Case Report
Case reports
Coronary vessels
Electrocardiography
Heart attacks
large thrombus
Medical imaging
Medical screening
Pain
Patients
surgical thrombectomy
Thrombosis
Veins & arteries
Visual impairment
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Summary:We present the case of a 50-year-old male, with no cardiovascular risk factors other than smoking, that presented with acute chest pain, revealed to be an acute myocardial infarction with a large thrombus located in the ascending aorta. Such findings are rare in a patient with no other afflictions, such as atherosclerosis, aortic aneurysm, or aortic wall injury (surgical or traumatic). There is no specific pathway regarding the management of ascending aorta thrombus in such a patient; therapeutic options include surgical, interventional, or medical methods. Surgical thrombectomy was performed in this case, considering the high risk of systemic embolism and stroke and the hemodynamic stability of the patient.
ISSN:1648-9144
1010-660X
1648-9144
DOI:10.3390/medicina57111176