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Figure 1
A. Preoperative CT pulmonary angiogram shows a saddle pulmonary embolism
(Red asterisk)
B. Chest CT reveals a floating thrombus in the anterior wall of distal
ascending aorta (black asterisk) and pulmonary embolism extending into
lobar arteries (red asterisk)
Figure 2
Intraoperative view of thrombus attached to an atheromatous plaque in
the ascending aortic wall
Figure 3
Surgical pulmonary embolectomy specimen from right (A) and left side (B)
Figure 4
A. Postoperative CT angiogram showing normal appearance of ascending
aortic graft
B. Postoperative pulmonary angio-CT showing no residual pulmonary emboli
and normal perfusion of main pulmonary arteries and lobar branches