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Related Experiment Videos

Systemic embolism from a large descending aortic thrombus.

Johann Auer, Gerhard Aschl, Robert Berent

    International Journal of Cardiology
    |May 28, 2003
    PubMed
    Summary

    Giant aortic thrombi are increasingly identified as sources of systemic emboli using transesophageal echocardiography (TEE). A case report details a patient successfully treated with anticoagulation for a descending aorta thrombus causing peripheral emboli.

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    Area of Science:

    • Cardiology
    • Vascular Medicine
    • Diagnostic Imaging

    Background:

    • Transesophageal echocardiography (TEE) has improved the detection of aortic thrombi.
    • Aortic thrombi are recognized as potential sources of systemic thromboembolism.
    • Peripheral emboli can arise from various embolic sources.

    Observation:

    • A 58-year-old woman presented with multiple, unexplained peripheral emboli.
    • Diagnostic imaging revealed a giant thrombus in the descending aorta.
    • This aortic thrombus was identified as the source of the systemic thromboembolism.

    Findings:

    • The patient refused surgical intervention for the aortic thrombus.
    • Long-term anticoagulation therapy was initiated as a conservative treatment.

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  • The patient experienced a successful clinical outcome with anticoagulation.

    • Implications:

    • This case highlights the importance of considering aortic thrombi in patients with unexplained peripheral emboli.
    • Transesophageal echocardiography is a valuable tool for diagnosing aortic thrombi.
    • Anticoagulation can be an effective treatment strategy for selected patients with aortic thrombi, especially when surgery is declined.