RESUMO
Floating aortic arch thrombi-blood clots forming in an aorta without aneurysms or atherosclerosis-in a normal aorta are exceedingly rare. The etiology is unknown, and there are no guidelines for appropriate treatment strategies. We report a case of floating aortic arch thrombosis in a patient without coagulopathy that was treated surgically. As the mass could not be identified preoperatively as a tumor or thrombus, synthetic graft replacement was performed, allowing resection of the lesion site. Histopathological examination revealed erosion and fissures in the tunica intima of the aorta, which suggested vessel damage to the tunica intima as the cause.
RESUMO
Retrieval of an intracardiac catheter by using endovascular devices sometimes fails. That failure has conventionally required thoracotomy and cardiotomy, occasionally with cardiopulmonary bypass, to remove the catheter. These case reports describe a far less invasive way of extracting a foreign body from the heart, by introducing long-shaft forceps through the right internal jugular vein. In this way, one can grasp, manipulate, and remove the foreign body.
Assuntos
Corpos Estranhos , Toracotomia , Humanos , Coração , Veias Jugulares/cirurgia , Catéteres , Corpos Estranhos/cirurgia , Procedimentos Cirúrgicos Minimamente InvasivosRESUMO
We report a case of a 79-year-old man for a mycotic aortic arch aneurysm caused by Clostridium perfringens. The patient who had been hospitalized for cholangitis two months prior revisited the hospital for fever and left precordial pain. He was suspected of an infected aortic aneurysm in the distal arch due to emphysematous changes observed. After antibiotics treatment, the emphysematous changes disappeared. However, he underwent urgent total arch replacement due to a new ulcer-like projection and enlargement of the aortic aneurysm, which were observed at that time. Clostridium-infected infectious aneurysms require not only treatment for vascular lesions but also scrutiny of complications, such as cancer.