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Case Reports
. 2009 Dec;17(4):148-50.
doi: 10.4250/jcu.2009.17.4.148. Epub 2009 Dec 31.

A case of huge thrombus in the aortic arch with cerebrovascular embolization

In Wook Song  1 , Geu-Ru Hong, Jung Hwan Cho, Sun Young Jung, Chang Woo Son, Sang Hee Lee, Young Jo Kim, Dong Gu Shin, Jong Seon Park, Bong Sup Shim
Affiliations
Case Reports

A case of huge thrombus in the aortic arch with cerebrovascular embolization

In Wook Song et al. J Cardiovasc Ultrasound. 2009 Dec.

Abstract

Pedunculated thrombus in the aortic arch that is associated with cerebral infarction is very rare requires prompt diagnosis and treatment to prevent occurrence of another devastating complication. Transesophageal echocardiography is useful for detecting source of embolism including aortic thrombi. The treatment options of aortic thrombi involves anticoagulation, thrombolysis, thromboaspiration, and thrombectomy. Here we report a case of huge thrombus in the aortic arch, resulting in acute multifocal cerebellar embolic infarct in patient without any risk factors for vascular thrombosis. Thrombi in the aortic arch were diagnosed by transesophageal echocardiography and treated with anticoagulants successfully.

Keywords: Aortic thrombus; Echocardiography.

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Figures

Fig. 1
Fig. 1
Brain magnetic resonance imaging, acute infarct on right posterior internal communicating artery territory and multifocal cerebellum (arrow).
Fig. 2
Fig. 2
Transesophageal echocardiogram demonstrates a large mobile protruding mass (arrow) in the aortic arch in transverse (A) and longitudinal (B) views.
Fig. 3
Fig. 3
Multi-detector computed tomography scan demonstrate the mass in the aortic arch (arrow).
Fig. 4
Fig. 4
Follow-up transesophageal echocardiogram shows small remnant thrombus in the base of atheromatous plaque (arrow)(B) compare with before anticoagulation therapy (arrow)(A).
See this image and copyright information in PMC

References

    1. Panetta T, Thompson JE, Talkington CM, Garrett WV, Smith BL. Arterial embolectomy: a 34-year experience with 400 cases. Surg Clin North Am. 1986;66:339–353. - PubMed
    1. Gagliardi JM, BattM, Khodja RH, Le bas P. Mural thrombus of the aorta. Ann Vasc Surg. 1988;2:201–204. - PubMed
    1. Laperche T, Laurian C, Roudaut R, Steg PG. Mobile thromboses of the aortic arch without aortic debris. A transesophageal echocardiographic finding associated with unexplained arterial embolism. The Filiale Echocardiographie de la Société Française de Cardiologie. Circulation. 1997;96:288–294. - PubMed
    1. Sadony V, Walz M, Löhr E, Rimpel J, Richter HJ. Unusual cause of recurrent arterial embolism: floating thrombus in the aortic arch surgically removed under hypothermic cardiocirculatory arrest. Eur J Car-diothorac Surg. 1988;2:468–471. - PubMed
    1. Tunick PA, Kronzon I. Protruding atherosclerotic plaque in the aortic arch of patients with systemic embolization: a new finding seen by transesophageal echocardiography. Am Heart J. 1990;120:658–660. - PubMed

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