HighlightsWe report successful surgical treatment of Heyde syndrome.The incidence of Heyde syndrome is expected to increase in aging population.Heyde syndrome should be considered in AS patients with gastrointestinal bleeding.Radical surgery should be performed regardless of gastrointestinal bleeding.
We report a case of vanished thrombus in the ascending aorta whose disapperance was confirmed by using the intraoperative epi-aortic echocardiography. The thrombus was found coincidentally at the examination of a malignant tumor. We determined that thrombus removal was necessary for the risk of embolism owing to their mobility. We planned surgical removal of the thrombus accompanied graft replacement for the ascending aorta, however, the thrombus had already vanished at the time of the operation. Following computed tomography revealed that the vanished thrombus did not cause any embolism.
A median full-sternotomy should be avoided in patients with tracheostoma because of the risk of sternal infection and mediastinitis. Recently, there have been some reports on cardiac surgery through a partial sternotomy for combined valvular disease. We present a case in which aortic valve replacement and mitral valve replacement and tricuspid valve annuloplasty were successfully performed through a reverse L shape partial sternotomy. This approach minimizes an incision and secures a distance between the incision and tracheostoma.
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