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Related Experiment Video

Updated: Jul 15, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

Floating thrombus in the ascending aorta.

Motoyuki Hisagi¹, Tetsuro Morota, Munemoto Endo

¹Department of Cardiothoracic Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan. mhisagi-tky@umin.ac.jp

General Thoracic and Cardiovascular Surgery

|April 21, 2007

Summary

A rare floating thrombus in the ascending aorta caused a transient ischemic attack. Surgical removal and anticoagulation therapy led to a full recovery, highlighting a challenging clinical scenario.

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An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta

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Published on: September 8, 2023

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Last Updated: Jul 15, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta

An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta

Published on: September 8, 2023

Area of Science:

Cardiology
Neurology
Vascular Surgery

Background:

Floating thrombus in the ascending aorta is a rare cause of arterial embolism.
Ascending aortic masses can lead to cerebrovascular events, such as transient ischemic attacks (TIAs).

Observation:

A 61-year-old male presented with a TIA.
Transesophageal echocardiography revealed a floating mass at the sinotubular junction of the ascending aorta.

Findings:

The patient underwent immediate anticoagulation therapy followed by surgical excision of the aortic mass.
The postoperative recovery was uneventful, with no signs of recurrence at follow-up.

Implications:

This case underscores the importance of considering rare embolic sources in patients with cerebrovascular events.
Management strategies for ascending aortic thrombi require careful consideration due to potential embolic complications.
The unclear etiology of aortic thrombi necessitates further research into diagnostic and therapeutic approaches.