Grapow, Martin

Matt, Peter

Todorov, Atanas

Zerkowski, Hans-Reinhard

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Images in cardio-thoracic surgeryAscending aortic thrombus causing strokePeter Matt*, Atanas Todorov, Martin Grapow, Hans-Reinhard ZerkowskiDivision of Cardio-Thoracic Surgery, University Hospital Basel, Spitalstrasse 21, CH-4031 Basel, SwitzerlandReceived 30 September 2003; received in revised form 11 November 2003; accepted 12 November 2003Keywords: Thrombus; Aortic surgery; StrokeA 49-year-old man was admitted to our hospital due to ahemiparesis. Transesophageal echocardiography and three-dimensional computed tomography showed a mobile massattached to the anterior wall of the ascending aorta (Fig. 1).At surgery a pedunculated thrombus, originating from asmall atherosclerotic lesion, was found 1.5 cm superior tothe left coronary sinus (Fig. 2).European Journal of Cardio-thoracic Surgery 25 (2004) 286www.elsevier.com/locate/ejcts1010-7940/$ - see front matter q 2003 Elsevier B.V. All rights reserved.doi:10.1016/j.ejcts.2003.11.024Fig. 1. Three-dimensional reconstructive computed tomography of theascending aortic lumina. TR indicates thrombus; AA, anterior wall of theascending aorta.Fig. 2. Intraoperative view through the aortotomy from cranial to the aorticvalve. BT indicates base of thrombus; LCS, left coronary sinus.* Corresponding author. Tel.: þ41-61-265-25-25; fax: þ41-61-265-88-54.E-mail address: pmatt@uhbs.ch (P. Matt).

Ascending aortic thrombus causing stroke

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