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A case of huge thrombus in the aortic arch with cerebrovascular embolization

In Wook Song1, Geu-Ru Hong, Jung Hwan Cho

  • 1Division of Cardiology, Department of Internal Medicine, College of Medicine, Yeungnam University, Daegu, Korea.

Journal of Cardiovascular Ultrasound
|July 28, 2010
PubMed

Pedunculated thrombus in the aortic arch that is associated with cerebral infarction is very rare requires prompt diagnosis and treatment to prevent occurrence of another devastating complication. Transesophageal echocardiography is useful for detecting source of embolism including aortic thrombi. The treatment options of aortic thrombi involves anticoagulation, thrombolysis, thromboaspiration, and thrombectomy. Here we report a case of huge thrombus in the aortic arch, resulting in acute multifocal cerebellar embolic infarct in patient without any risk factors for vascular thrombosis. Thrombi in the aortic arch were diagnosed by transesophageal echocardiography and treated with anticoagulants successfully.

Keywords:
Aortic thrombusEchocardiography

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