CTICasesAortic graft thrombus following debranching surgery
Imaging findings
CTA of the chest demonstrates extensive, thick laminar thrombosis lining the inner surface of an ascending aortic graft, extending into the aortic root and the debranched arch vessels (left carotid and left subclavian arteries), leading to a stroke.
Key takeaways
Extensive thrombosis of synthetic aortic grafts can occur post-operatively in patients with underlying hypercoagulable states. This is a severe complication that carries a high risk of thromboembolic stroke.
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