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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 on theme: "Pathologic Features of Lone Aortic Mobile Thrombus in the Ascending Aorta  Hidehito Endo, MD, Hikaru Ishii, MD, Hiroshi Tsuchiya, MD, Yu Takahashi, MD,"— Presentation transcript:

1 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: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 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  , e313-e315DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 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  , e313-e315DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

4 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  , e313-e315DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

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