Direct oral anticoagulant therapy as an alternative to surgery for the treatment of a patient with a floating thrombus in the ascending aorta and pulmonary embolism

A floating thrombus in the ascending aorta was incidentally discovered in a patient with a descending thoracic aortic aneurysm and a history of alcoholism. The patient developed deep venous thrombosis and pulmonary embolism. However, he refused to undergo surgical excision of the thrombus in the asc...

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Main Authors:	Masashi Toyama, MD, Masato Nakayama, MD, Masahiko Hasegawa, MD, Takeshi Yuasa, MD, Bunmei Sato, MD, Osamu Ohno, MD
Format:	Article
Language:	English
Published:	Elsevier 2018-06-01
Series:	Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:	http://www.sciencedirect.com/science/article/pii/S2468428718300571

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spelling	doaj-cec2be320c734460872c55251c455c432020-11-24T21:36:52ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872018-06-0142170172Direct oral anticoagulant therapy as an alternative to surgery for the treatment of a patient with a floating thrombus in the ascending aorta and pulmonary embolismMasashi Toyama, MD0Masato Nakayama, MD1Masahiko Hasegawa, MD2Takeshi Yuasa, MD3Bunmei Sato, MD4Osamu Ohno, MD5Department of Cardiovascular Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan; Correspondence: Masashi Toyama, MD, Department of Cardiovascular Surgery, Toyohashi Municipal Hospital, 50 Hachikenn-nishi, Aotake-cho, Toyohashi 441-8570, JapanDepartment of Cardiovascular Surgery, Toyohashi Municipal Hospital, Toyohashi, JapanDepartment of Cardiovascular Surgery, Okazaki City Hospital, Okazaki, JapanDepartment of Cardiovascular Surgery, Okazaki City Hospital, Okazaki, JapanDepartment of Cardiology, Toyohashi Municipal Hospital, Toyohashi, JapanDepartment of Cardiology, Toyohashi Municipal Hospital, Toyohashi, JapanA floating thrombus in the ascending aorta was incidentally discovered in a patient with a descending thoracic aortic aneurysm and a history of alcoholism. The patient developed deep venous thrombosis and pulmonary embolism. However, he refused to undergo surgical excision of the thrombus in the ascending aorta. Therefore, treatment with rivaroxaban was administered for 3 months, and it completely dissolved the thrombus. Anticoagulant therapy may be an alternative treatment when surgery cannot be performed.http://www.sciencedirect.com/science/article/pii/S2468428718300571
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Masashi Toyama, MD Masato Nakayama, MD Masahiko Hasegawa, MD Takeshi Yuasa, MD Bunmei Sato, MD Osamu Ohno, MD
spellingShingle	Masashi Toyama, MD Masato Nakayama, MD Masahiko Hasegawa, MD Takeshi Yuasa, MD Bunmei Sato, MD Osamu Ohno, MD Direct oral anticoagulant therapy as an alternative to surgery for the treatment of a patient with a floating thrombus in the ascending aorta and pulmonary embolism Journal of Vascular Surgery Cases and Innovative Techniques
author_facet	Masashi Toyama, MD Masato Nakayama, MD Masahiko Hasegawa, MD Takeshi Yuasa, MD Bunmei Sato, MD Osamu Ohno, MD
author_sort	Masashi Toyama, MD
title	Direct oral anticoagulant therapy as an alternative to surgery for the treatment of a patient with a floating thrombus in the ascending aorta and pulmonary embolism
title_short	Direct oral anticoagulant therapy as an alternative to surgery for the treatment of a patient with a floating thrombus in the ascending aorta and pulmonary embolism
title_full	Direct oral anticoagulant therapy as an alternative to surgery for the treatment of a patient with a floating thrombus in the ascending aorta and pulmonary embolism
title_fullStr	Direct oral anticoagulant therapy as an alternative to surgery for the treatment of a patient with a floating thrombus in the ascending aorta and pulmonary embolism
title_full_unstemmed	Direct oral anticoagulant therapy as an alternative to surgery for the treatment of a patient with a floating thrombus in the ascending aorta and pulmonary embolism
title_sort	direct oral anticoagulant therapy as an alternative to surgery for the treatment of a patient with a floating thrombus in the ascending aorta and pulmonary embolism
publisher	Elsevier
series	Journal of Vascular Surgery Cases and Innovative Techniques
issn	2468-4287
publishDate	2018-06-01
description	A floating thrombus in the ascending aorta was incidentally discovered in a patient with a descending thoracic aortic aneurysm and a history of alcoholism. The patient developed deep venous thrombosis and pulmonary embolism. However, he refused to undergo surgical excision of the thrombus in the ascending aorta. Therefore, treatment with rivaroxaban was administered for 3 months, and it completely dissolved the thrombus. Anticoagulant therapy may be an alternative treatment when surgery cannot be performed.
url	http://www.sciencedirect.com/science/article/pii/S2468428718300571
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Direct oral anticoagulant therapy as an alternative to surgery for the treatment of a patient with a floating thrombus in the ascending aorta and pulmonary embolism

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