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Updated: Jun 3, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
[Mobile mass in the descending aorta with multiple embolism]
Yasutaka Hirai1, Takeki Ohashi, Takeshi Yoshida
1Department of Cardiovascular Surgery, Nagoya Tokushukai General Hospital, Kasugai, Japan.
A mobile mass in the descending aorta caused abdominal pain and systemic embolism. Surgical removal of the organized thrombus was successful, leading to an uneventful recovery.
Area of Science:
- Vascular Surgery
- Cardiovascular Pathology
- Diagnostic Imaging
Background:
- Abdominal pain can indicate serious vascular conditions.
- Systemic embolism poses a significant risk of organ damage.
- Mobile masses in the aorta require urgent evaluation and management.
Observation:
- A 46-year-old male presented with abdominal pain.
- Computed tomography (CT) identified a mobile mass in the descending aorta.
- Multiple instances of systemic embolism were detected.
Findings:
- The mobile aortic mass was surgically removed.
- Histopathology confirmed the mass as organized thrombus with inflammatory changes.
- A pericardial patch was used to repair the aortic defect.
Implications:
- Early diagnosis and surgical intervention are crucial for managing aortic masses.
- Successful resection of aortic thrombus can prevent further embolic events.
- This case highlights the importance of prompt surgical management for mobile aortic lesions.
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