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KMID : 0364020160490050401
Korean Journal of Thoracic and Cardiovascular Surgery
2016 Volume.49 No. 5 p.401 ~ p.404
Multiple Ascending Aortic Mural Thrombi and Acute Necrotizing Mediastinitis Secondary to Acute Pancreatitis
Chong Byung-Kwon

Yun Jae-Kwang
Kim Joon-Bum
Park Do-Hyun
Abstract
The formation of aortic thrombi is an extremely rare complication of acute pancreatitis. Here we report a case of acute pancreatitis complicated by a paraesophageal pseudocyst, necrotizing mediastinitis, and the formation of multiple thrombi in the ascending aorta. The patient was successfully treated by surgical therapy, which included extensive debridement of the mediastinum and removal of the aortic thrombi under cardiopulmonary bypass. Although esophageal resection was not carried out concomitantly, the lesions were resolved and the patient remained free of complications over 2 years of follow-up care.
KEYWORD
Pancreatitis, Acute Necrotizing, Aorta, Thrombosis, Mediastinitis, Esophageal Diseases
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