case_images: PMC11829666_01
case_images: (a) CTA showing T9 screw in the thoracic aorta. (b) CTA showing T7 screw in the aorta. (c) CT spine showing both screws in the aorta. (d) baseline TEG. (e) TEE capture of T7 screw inside the aorta. (f) intraoperative TEG showing coagulopathy mainly heparin induced
case_images: SJA-19-118-g001.jpg
case_images: PMC11829666_01_SJA-19-118-g001.jpg
case_images: sja.sja_369_24-F1
case_images: T7 and T9 levels [Figure 1c], and computed tomography angiogram (CTA) showed no active leak, hematomas, or aneurysms around the aorta [Figure 1a and b]. The patient was booked for screws removal and thoracic endovascular aortic repair (TEVAR). Samples were sent for baseline arterial blood gas and thrombo-elastography (TEG) [Figure 1d]. On scanning the aorta, the two screws were clearly visible inside the aortic lumen [Figure 1e], and the T9 screw had a piece of tissue attached to it, which might be a thrombus, mobile plaque, endothelial tissue, or a vegetation [Figure 2].
case_images: TEE capture of T9 screw inside the aorta with a moving piece of tissue attached to its tip, probably a thrombus
case_images: SJA-19-118-g002.jpg
case_images: PMC11829666_01_SJA-19-118-g002.jpg
case_images: sja.sja_369_24-F2
case_images: On scanning the aorta, the two screws were clearly visible inside the aortic lumen [Figure 1e], and the T9 screw had a piece of tissue attached to it, which might be a thrombus, mobile plaque, endothelial tissue, or a vegetation [Figure 2].