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Case Reports
. 2013 Dec;46(6):464-6.
doi: 10.5090/kjtcs.2013.46.6.464. Epub 2013 Dec 6.

Floating thrombus in aortic arch

Affiliations
Case Reports

Floating thrombus in aortic arch

Tae Ook Noh et al. Korean J Thorac Cardiovasc Surg. 2013 Dec.

Abstract

Floating thrombi in the aortic arch are very rare and an unusual source of systemic embolism. Herein, a case of a 3-cm thrombus in the aortic arch is reported. It was a floating, highly mobile thrombus attached to the lesser curvature of the aortic arch. The patients had a hypercoagulable disorder induced by protein C and S deficiency. The thrombus was operatively removed with a favorable outcome.

Keywords: Aorta; Embolism; Thrombosis.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
A computed tomography scan (A) shows an obstruction of the brachial artery. After thrombectomy, the brachial artery shows good blood flow in peripheral angiography (B).
Fig. 2
Fig. 2
A computed tomography scan ([A] transverse section, [B] coronal section) shows a mass lesion (3.0×1.5 cm) in the aortic arch. The aortic arch and the descending aorta are normal.
Fig. 3
Fig. 3
An echocardiography shows a floating lesion (3.0×1.5 cm) in the aortic arch.
Fig. 4
Fig. 4
A floating lesion in the aortic arch in the operating room. A fibrin thrombus was reported from the biopsy.

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