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Case Reports
. 2017 Jul;13(4):193-195.

Mobile mass in the aortic arch: A case report

Fatemeh Ghani-Dehkordi  1 , Rostam Esfandiyari-Bakhtiyari  2 , Firoozeh Alirezaee-Shahraki  3
Affiliations
Case Reports

Mobile mass in the aortic arch: A case report

Fatemeh Ghani-Dehkordi et al. ARYA Atheroscler. 2017 Jul.

Abstract

Background: The finding of a floating mass in the aortic arch is rare and the management remains controversial.

Case report: We describe a 42-year-old woman with an embolic infarction in whom transesophageal echocardiography revealed a mobile mass in the aortic arch that was characterized as atherothrombi with an evidence of embolic infarction in the territory of the middle cerebral artery. Treatment with antiplatelet and anticoagulants failed to resolve the mass and is surgically resected.

Conclusion: In conclusion, the presence of mobile aortic mass seems to carry a high embolic risk. The optimal treatment for mobile aortic arch atherothrombi remains to be elucidated.

Keywords: Echocardiography; Embolism; Transesophageal Echocardiography; Transthoracic Echocardiography.

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