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http://dx.doi.org/10.1016/j.asjsur.2024.07.128 | DOI Listing |
JACC Case Rep
September 2025
Cardiology Unit, Cardiovascular Department, Humanitas Gavazzeni, Bergamo, Italy.
Background: We present a multimodality imaging study of a rare case of postsurgical chronically evolved pseudoaneurysm with a possible rupture buffered by the huge thrombus.
Case Summary: A patient known for previous late presentation myocardial infarction complicated by shock and ventricular septal defect and treated with surgical repair and triple coronary artery bypass grafting, was directed to our hospital for severe mitral regurgitation. Computed tomography, cardiac magnetic resonance, and echocardiography, in a multimodality approach, revealed a huge postsurgical cardiac pseudoaneurysm, with an extensive thrombus and the native pericardium not perfectly distinguishable from pseudoaneurysm tissue or surgical patch.
Cureus
July 2025
Department of Neurology, Ibn Rochd University Hospital, Casablanca, MAR.
Background And Aims: Free-floating thrombus (FFT) is a rare but clinically significant vascular finding, not only in ischemic stroke but also in other contexts such as routine imaging for asymptomatic patients or evaluation of other vascular diseases. It is characterized by an intraluminal thrombus adherent to the arterial wall with partial luminal occlusion and cyclic movement synchronized with the cardiac cycle. Although associated with an increased risk of embolic complications, including recurrence, no consensus exists regarding optimal management.
View Article and Find Full Text PDFBMJ Case Rep
August 2025
Radiology, Texas Tech University Health Sciences Center El Paso, El Paso, Texas, USA.
We present the case of an African American man in his mid-to-late 40s with no prior vascular risk factors who developed an acute ischaemic stroke. Imaging revealed an unstable carotid plaque with an associated floating thrombus, resembling a carotid web. The patient demonstrated near-complete neurological recovery within 30 min following intravenous tenecteplase administration.
View Article and Find Full Text PDFAm J Case Rep
August 2025
Department of Neurology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
BACKGROUND Conventional clinical understanding holds that venous thrombus formation typically occurs days after traumatic injury. However, our findings demonstrate that acute thrombosis can begin within 7.5 hours after fracture in knee trauma cases, challenging existing paradigms.
View Article and Find Full Text PDFFront Cardiovasc Med
August 2025
Neonatal Intensive Care Unit, "Bambino Gesù" Children's Hospital IRCCS, Rome, Italy.
Background: Neonatal intracardiac thrombosis (ICT) is an uncommon but increasingly recognized condition that impacts neonatal morbidity and mortality, especially in critically ill term and preterm infants. Management includes supportive care and pharmacological or surgical intervention. This study explores the challenges associated with ICT in neonates.
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