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Operative management of ascending aorta thrombus and bilateral pulmonary embolism in the setting of breast cancer
  • +2
  • Jorge Alcocer,
  • María Ascaso,
  • Eduard Quintana,
  • Elena Sandoval,
  • Manuel Castella
Jorge Alcocer
Department of Cardiovascular Surgery, Institut Clinic Cardiovascular, Hospital Clínic de Barcelona, University of Barcelona, Barcelona, Spain
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María Ascaso
Hospital Clínic
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Eduard Quintana
Hospital Clínic
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Elena Sandoval
Hospital Clínic, Cardiovascular Surgery
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Manuel Castella
Department of Cardiovascular Surgery, Institut Clinic Cardiovascular, Hospital Clínic de Barcelona, University of Barcelona, Barcelona, Spain
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Abstract

Pulmonary embolism and concomitant floating aortic thrombus are a rare and potentially life-threatening association. Several therapeutic options are available and best management can be controversial when these conditions coexist. We describe a case of a 79-year-old woman presented with massive pulmonary embolism and simultaneous floating thrombus in the ascending aorta. She underwent concomitant ascending aortic replacement and surgical pulmonary embolectomy with an uneventful postoperative recovery. Open surgical repair is a one stage repair approach that may offer the most efficient treatment to allow survival.

Peer review status:ACCEPTED

18 Nov 2020Submitted to Journal of Cardiac Surgery
24 Nov 2020Submission Checks Completed
24 Nov 2020Assigned to Editor
24 Nov 2020Reviewer(s) Assigned
14 Dec 2020Review(s) Completed, Editorial Evaluation Pending
14 Dec 2020Editorial Decision: Revise Major
31 Dec 20201st Revision Received
02 Jan 2021Submission Checks Completed
02 Jan 2021Assigned to Editor
02 Jan 2021Reviewer(s) Assigned
08 Jan 2021Review(s) Completed, Editorial Evaluation Pending
08 Jan 2021Editorial Decision: Accept