Surgical Management of a Rare Ascending Aortic Mural Thrombus Using a Modified Brain Isolation Strategy: A Case Report

INTRODUCTION: Ascending aortic mural thrombus (AMT) is an exceptionally rare condition. Diagnosis is often difficult because non-ECG-gated contrast-enhanced CT is susceptible to motion artifacts, and the distal ascending aorta can sometimes be challenging to evaluate using transesophageal echocardiography. A standardized surgical strategy for ascending AMT has not been established.