Pathologic Features of Lone Aortic Mobile Thrombus in the Ascending Aorta Hidehito Endo, MD, Hikaru Ishii, MD, Hiroshi Tsuchiya, MD, Yu Takahashi, MD,

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Presentation transcript:

Pathologic Features of Lone Aortic Mobile Thrombus in the Ascending Aorta Hidehito Endo, MD, Hikaru Ishii, MD, Hiroshi Tsuchiya, MD, Yu Takahashi, MD, Hiroaki Shimoyamada, MD, Aya Isomura, MD, Masanori Nakajima, MD, Teruyuki Hirano, MD, Yasuo Ohkura, MD, Hiroshi Kubota, MD The Annals of Thoracic Surgery Volume 102, Issue 4, Pages e313-e315 (October 2016) DOI: 10.1016/j.athoracsur.2016.03.107 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Computed axial tomographic image showing the aortic thrombus in the ascending aorta. (B) Intraluminal view of the ascending aorta by three-dimensional computed tomographic angiography. (L = left coronary cusp; N = noncoronary cusp; R = right coronary cusp; Th = thrombus.) The Annals of Thoracic Surgery 2016 102, e313-e315DOI: (10.1016/j.athoracsur.2016.03.107) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Transverse aortotomy showing thrombus (Th) on the anterior wall of the ascending aorta. (B) Examination of the excised ascending aorta revealing thrombus and an intact intima around the thrombus. The Annals of Thoracic Surgery 2016 102, e313-e315DOI: (10.1016/j.athoracsur.2016.03.107) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Lipid core is exposed to the lumen, and thrombus is located in the defected lipid core within the rupture area. (Hematoxylin and eosin; ×10.) (B) The intima in the fibrous cap is abnormal. Fibrous cap is ruptured in its thinnest spot. (Ad = adventitia; FC = fibrous cap; In = intima; LC = lipid core; Md = media; Th = thrombus.) (Elastica van Gieson; ×10.) The Annals of Thoracic Surgery 2016 102, e313-e315DOI: (10.1016/j.athoracsur.2016.03.107) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions