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3DTEE imaging of a descending aorta floating thrombus in a patient with calciphylaxis

Konstantinos C Theodoropoulos1, Alexandros Papachristidis1, Michael Papitsas1

  • 1Department of Cardiology, King's College Hospital NHS Foundation Trust, King's College London, London, UK.

Echocardiography (Mount Kisco, N.Y.)
|December 12, 2017
PubMed

Insights

A calciphylaxis patient had a mobile thrombus in the descending aorta, originating from atherosclerosis. Echocardiography confirmed its free motion, leading to anticoagulation for preventing blood clots.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Medical Imaging

Background:

  • Calciphylaxis is a rare, severe condition involving vascular calcification and skin necrosis.
  • Aortic thrombi can lead to significant embolic complications.

Observation:

  • A 68-year-old male patient with calciphylaxis presented with an incidental finding.
  • Transesophageal echocardiography revealed a mobile thrombus within the descending aorta.

Findings:

  • 3D echocardiography clearly visualized the thrombus's free-moving nature.
  • The thrombus was observed to originate from an atherosclerotic plaque in the descending aorta.

Implications:

  • This case highlights the importance of comprehensive cardiovascular assessment in calciphylaxis patients.
  • Early detection and anticoagulation are crucial for managing thromboembolic risk in such cases.

Keywords:
3D echocardiographydescending aortathrombustransesophageal echocardiography

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