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Case Reports

Unusual Metastasis of the Papillary Thyroid Adenocarcinoma

^a Department of Cardiovascular Surgery, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey
^b Department of Cardiology, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey

Accepted for publication October 14, 2008.

^_* Address correspondence to Dr Sanioglu, Fenerbahce Mah. Fenerli Reis Sk, No. 5/2, Selamicesme, Kadikoy, 81030, stanbul (Email: sanioglu{at}gmail.com).

Floating thrombus in the ascending aorta is rare and its association with papillary thyroid adenocarcinoma has not been documented. We report a case of a 64-year-old man who was referred to our emergency unit because of suspected type A aortic dissection. Computerized tomographic and transthoracic echocardiographic scans revealed a floating thrombus in the aneurysmatic ascending aorta. The thrombus was removed with the dilated aorta. Although the aortic wall was macroscopically normal, histologic examination revealed metastatic papillary adenocarcinoma.