Abstract
Pulmonary embolism and concomitant floating aortic thrombus are a rare
and potentially life-threatening association. Several therapeutic
options are available and best management can be controversial when
these conditions coexist.
We describe a case of a 79-year-old woman presented with massive
pulmonary embolism and simultaneous floating thrombus in the ascending
aorta. She underwent concomitant ascending aortic replacement and
surgical pulmonary embolectomy with an uneventful postoperative
recovery.
Open surgical repair is a one stage approach that may offer the most
efficient treatment to allow survival.