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Case Reports
. 2018 Oct 2:2018:2040925.
doi: 10.1155/2018/2040925. eCollection 2018.

Aortic Arch Floating Thrombus Complicated by Distal Embolization in a Patient with Malignancy

Konstantinos Tigkiropoulos  1 , Dimitrios Karamanos  1 , Marianthi Tympanidou  1 , Nikolaos Saratzis  1 , Ioannis Lazaridis  1
Affiliations
Case Reports

Aortic Arch Floating Thrombus Complicated by Distal Embolization in a Patient with Malignancy

Konstantinos Tigkiropoulos et al. Case Rep Vasc Med. .

Abstract

Free floating thrombus of aortic arch in a minimally atherosclerotic or nonaneurysmal aorta is a rare disease entity which carries a potential risk of distal embolization with catastrophic consequences. We present the case of a 52-years-old patient with ovarian cancer and aortic arch floating thrombus who initially managed with low molecular weight heparin and eventually undergone surgical thrombectomy of left external iliac and common femoral artery due to acute ischemia of left lower leg.

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Figures

Figure 1
Figure 1
Coronal and axial view of aortic arch depicted the presence of thrombus in a calcified lesion.
Figure 2
Figure 2
Coronal and axial view of aortic arch depicted the presence of thrombus in a calcified lesion.
Figure 3
Figure 3
|Transesophageal echocardiography showed a 23 mm mobile thrombus in the lesser curvature of aortic arch.
Figure 4
Figure 4
|Transesophageal echocardiography showed a 23 mm mobile thrombus in the lesser curvature of aortic arch.
Figure 5
Figure 5
CT angiography revealed dislodgement of aortic thrombus and occlusion of the left common femoral artery (Absence of contrast agent in the arterial phase).
Figure 6
Figure 6
CT angiography revealed dislodgement of aortic thrombus and occlusion of the left common femoral artery (Absence of contrast agent in the arterial phase).
See this image and copyright information in PMC

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