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Floating mass in the aortic arch: An interesting case report.

Title: Floating mass in the aortic arch: An interesting case report.
Authors: Fosteris M; Department of Cardiology, General Hospital of Athens 'ELPIS', Athens, Greece.; Skoura A; Department of Cardiology, General Hospital of Athens 'ELPIS', Athens, Greece.; Mountaki V; Department of Cardiology, General Hospital of Athens 'ELPIS', Athens, Greece.; Chlorogiannis I; Cardiosurgery Department, Euroclinic, Athens, Greece.; Trikas A; Department of Cardiology, General Hospital of Athens 'ELPIS', Athens, Greece.
Source: Journal of cardiology cases [J Cardiol Cases] 2013 Dec 12; Vol. 9 (2), pp. 45-47. Date of Electronic Publication: 2013 Dec 12 (Print Publication: 2014).
Publication Type: Journal Article
Language: English
Journal Info: Publisher: published on behalf of the Japanese College of Cardiology by Elsevier Country of Publication: Japan NLM ID: 101549579 Publication Model: eCollection Cited Medium: Internet ISSN: 1878-5409 (Electronic) Linking ISSN: 18785409 NLM ISO Abbreviation: J Cardiol Cases Subsets: PubMed not MEDLINE
Imprint Name(s): Original Publication: Tokyo, Japan : published on behalf of the Japanese College of Cardiology by Elsevier
Abstract: The finding of a floating mass in the aortic arch is rare and the management remains controversial. The gold standard for visualization of atheromatic plaque is computed tomography scanning. However, in some patients transthoracic harmonic imaging from a suprasternal window can reliably visualize protruding aortic arch atheromas, thus making an excellent screening test. We report a case of a ruptured floating atheromatous aortic plaque in a 77-year-old man with severe aortic valve stenosis and known coronary artery disease presenting with progressing dyspnea. Both procedures, atheromatic plaque removal and aortic valve replacement, were undertaken during the same surgical operation, which was completed with success and the patient was discharged in a good state of health. .
References: Am Heart J. 1999 Oct;138(4 Pt 1):746-52. (PMID: 10502222); Ann Thorac Surg. 2005 Nov;80(5):1679-86; discussion 1686-7. (PMID: 16242438); Circulation. 2006 Jul 4;114(1):63-75. (PMID: 16818829); Ann Thorac Surg. 1993 Jun;55(6):1400-7; discussion 1407-8. (PMID: 8512388)
Contributed Indexing: Keywords: Aortic surgery; Aortic valve stenosis; Pedunculated aortic plaque; Ruptured floating atheroma
Entry Date(s): Date Created: 20181212 Latest Revision: 20201001
Update Code: 20260130
PubMed Central ID: PMC6277694
DOI: 10.1016/j.jccase.2013.09.007
PMID: 30534292
Database: MEDLINE

Journal Article