John A. Elefteriades, MD, Bulat A. Ziganshin, MD

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Presentation transcript:

Aortic arch mobile masses: “Carotid-equivalent” lesions deserving aggressive surgical treatment John A. Elefteriades, MD, Bulat A. Ziganshin, MD The Journal of Thoracic and Cardiovascular Surgery Volume 153, Issue 5, Pages e85-e86 (May 2017) DOI: 10.1016/j.jtcvs.2017.01.005 Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Arch atheromas are perfectly situated to embolize to the brain. B, Lesions just beyond the ostium of the left subclavian artery can still embolize in to the subclavian artery and the posterior cerebral circulation because of forward and backward movement (normal backward flow of blood in diastole). C, Long (“hot dog”–shaped) lesions in the descending aorta often take their attachment at the “ductus bump.” The Journal of Thoracic and Cardiovascular Surgery 2017 153, e85-e86DOI: (10.1016/j.jtcvs.2017.01.005) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Lesions in the distal arch/descending aorta often take their attachment at the “ductus bump.” The Journal of Thoracic and Cardiovascular Surgery 2017 153, e85-e86DOI: (10.1016/j.jtcvs.2017.01.005) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions