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Related Concept Videos

Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Metastasis02:30

Metastasis

Metastasis is the spread of cancer cells from the original site to distant locations in the body. Cancer cells can spread via blood vessels (hematogenous) as well as lymph vessels in the body.
Epithelial-to-Mesenchymal Transition
The epithelial-to-mesenchymal transition or EMT is a developmental process commonly observed in wound healing, embryogenesis, and cancer metastasis. EMT is induced by transforming growth factor-beta (TGF-β) or receptor tyrosine kinase (RTK) ligands, which further...

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Related Experiment Video

Updated: Jun 14, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
06:29

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

Published on: June 11, 2019

Aortic tumor or mobile thrombus?

Andrea Loiselle1, Neera Agrwal, Timothy J Ingall

  • 1Division of Community Internal Medicine, Mayo Clinic, Scottsdale, Arizona 85259, USA.

Echocardiography (Mount Kisco, N.Y.)
|April 13, 2010
PubMed
Summary
This summary is machine-generated.

A mobile mass in the thoracic aorta, potentially a thrombus, can cause stroke. Transesophageal echocardiography aided diagnosis and treatment of this rare aortic arch atherosclerosis manifestation.

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Last Updated: Jun 14, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
06:29

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Published on: June 11, 2019

A New Murine Model of Endovascular Aortic Aneurysm Repair
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An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta
07:12

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

Published on: September 8, 2023

Area of Science:

  • Cardiovascular Medicine
  • Neurology
  • Diagnostic Imaging

Background:

  • Mobile masses in the thoracic aorta are uncommon, often presenting diagnostic challenges.
  • Differential diagnoses include thrombus, tumors, and atherosclerotic debris.
  • Aortic arch atherosclerosis is a significant risk factor for cerebrovascular events.

Observation:

  • A 61-year-old man presented with acute neurologic deficits.
  • Transesophageal echocardiography revealed a large, mobile, echogenic mass in the distal aortic arch.
  • The patient had minimal cardiovascular risk factors and no other systemic symptoms.

Findings:

  • Anticoagulant therapy was initiated due to the high suspicion of a thrombus.
  • The aortic mass resolved completely following anticoagulant treatment.
  • This outcome strongly supported a diagnosis of aortic thrombus secondary to atherosclerosis.

Implications:

  • This case highlights an atypical presentation of aortic arch atherosclerosis.
  • Transesophageal echocardiography is crucial for diagnosing mobile aortic masses in stroke patients.
  • Early diagnosis and management of aortic thrombi can prevent further embolic events.