COVID-19-related Floating Thrombus in the Ascending Aorta – A Case Report
Roxana Carmen Geana, Reza Nayyerani, Razvan Dragulescu, Ioana Marinică, Nicolae Bacalbaşa, Irina Bălescu, Camelia Cristina Diaconu, Vlad Anton Iliescu, Victor Cauni, Ovidiu Ştiru
Abstract
BACKGROUND/AIM: Multiple aortic mural thrombi at the level of the ascending aorta represent a rare condition, only isolated cases have been reported so far. The aim of the current article was to report the case of a 61-year-old patient diagnosed with this pathology. CASE REPORT: A 61-year-old patient with history of COVID infection six months previously was initially diagnosed with acute upper right limb ischemia and submitted to Fogarty desobstruction. Furthermore, the patient was diagnosed with a free-floating mass in the ascending aorta, for which he was submitted to aortotomy and floating thrombi, measuring 5.6×1.5 cm and 3×1.5 cm, were completely removed. The postoperative outcomes were favorable; at the three month follow up the patient proved to have a perfect circulated aortic lumen and supra-aortic vessels. CONCLUSION: immediate aortic desobstruction followed by reconstruction might be a lifesaving maneuver in ascending aortic thrombosis.