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Updated: Jul 18, 2026
08:51
A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
Arch thrombus formation in an apparently normal aorta as a source for recurrent peripheral embolization.
S Berneder1, G van Ingen, P Eigel
1Cardiac Surgery, Passau General Hospital, Passau, Germany. bernedersilvia@yahoo.de
The Thoracic and Cardiovascular Surgeon
|December 8, 2006
Summary
A rare aortic arch thrombus caused leg artery emboli. Surgical removal and aortic wall repair prevented recurrence, highlighting diagnostic importance of transesophageal echo and MRI.
Area of Science:
- Cardiology
- Vascular Surgery
- Diagnostic Imaging
Background:
- Floating thrombi in the aortic arch are an uncommon cause of systemic embolization.
- Identifying the source of emboli is crucial when no other pathology is evident.
Observation:
- A case is presented of a patient with emboli in both femoral arteries originating from a floating thrombus in a seemingly normal aortic arch.
- Transesophageal echocardiography (TEE) and magnetic resonance imaging (MRI) were instrumental in diagnosing the aortic arch thrombus.
Findings:
- Systemic embolization occurred from an aortic arch thrombus.
- Bilateral femoral thrombectomy successfully removed the emboli.
- Surgical intervention involving thrombus removal and aortic wall plication under deep hypothermic circulatory arrest prevented re-embolization.
Implications:
- This case underscores the importance of considering aortic arch thrombi as a source of peripheral emboli.
- Advanced imaging like TEE and MRI are vital for diagnosing such rare conditions.
- Surgical management, including aortic wall repair, can effectively prevent recurrent embolic events.
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