Bin, Li and Bing, Liu and Yijun, Fu and Bondarenko, Olexandr and Alain, Verdant and Olivier, Rochette-Drouin and Jing, Lin and Jean-Michel, Bourget and Randolph, Guzman and Lu, Wang and Ze, Zhang and Yvan, Douville and Lucie, Germain and Zaiping, Jing and Robert, Guidoin (2015) A Floating Thrombus Anchored at the Proximal Anastomosis of a Woven Thoracic Graft Mimicking a Genuine Aortic Dissection. Journal of Long-Term Effects of Medical Implants, 25(3). pp. 179-200.
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Abstract
An aortoesophageal fistula following surgery for a ruptured 6.6-cm thoracic aneurysm in a 69-yearold female was repaired using a 34-mm woven prosthetic graft. A follow-up computed tomography (CT) scan at 10 days postoperatively revealed a dissection-like picture in the region of the graft, which was treated conservatively. The patient eventually died from sepsis and multiorgan failure. At autopsy, the graft was retrieved in situ and studied by detailed gross, microscopy, and scanning electron microscopy (SEM) examination. Gross observation confirmed that the dissection resulted from the rolling of the internal capsule downstream. A massive thrombus anchored at the proximal anastomosis and held by a narrow head was also noted. The thrombus demonstrated reorganization in the area of the anastomosis, with a false lumen in its distal half. The reminder of the thrombus consisted of layered fibrin. After gross examination, the fabric graft was found to be flawless. Additional detailed studies were also done using microscopy, SEM, and gross examination.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | thoracic aortic graft, false lumen, floating thrombus, CT angiography, woven graft. |
| Subjects: | Pathological anatomy |
| Divisions: | Departments > Department of Pathological Anatomy and Forensic Medicine |
| Depositing User: | Оксана Мажуга |
| Date Deposited: | 12 Dec 2019 11:28 |
| Last Modified: | 12 Dec 2019 11:28 |
| URI: | http://repo.dma.dp.ua/id/eprint/4686 |
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