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Related Experiment Video

Updated: Dec 24, 2025

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

Mobile Thrombus in the Ascending Aorta.

Yujiro Kawai¹, Kiyoshi Koizumi², Takahito Itoh²

¹Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.

Annals of Vascular Diseases

|April 11, 2020

Summary

A 65-year-old male experienced stroke symptoms due to a cerebral infarction likely caused by an ascending aortic thrombus. Surgical removal of the thrombus and aortic replacement successfully treated the condition, preventing recurrence.

Keywords:

aorta graft-replacement thrombus

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Area of Science:

Cardiology
Neurology
Vascular Surgery

Background:

Cerebral infarction can be caused by embolic events originating from the aorta.
Ascending aortic thrombus is a rare but significant cause of embolic stroke.
Aortic pathology requires prompt diagnosis and management to prevent neurological complications.

Purpose of the Study:

To report a case of cerebral infarction secondary to an ascending aortic thrombus.
To highlight the successful surgical management of this rare condition.
To discuss the clinical and pathological findings associated with ascending aortic thrombus.

Main Methods:

A patient presenting with stroke symptoms underwent advanced neuroimaging (MRI) and cardiovascular imaging (contrast-enhanced CT).
A suspicious thrombus in the ascending aorta was identified as the likely embolic source.
The patient underwent surgical ascending aortic replacement with thrombus removal.

Main Results:

Cerebral infarction was confirmed by MRI.
An ascending aortic thrombus was identified and surgically removed.
The patient's symptoms resolved following the intervention, with no reported recurrence.

Conclusions:

Ascending aortic thrombus is a critical, albeit uncommon, cause of embolic stroke.
Surgical intervention, including aortic replacement and thrombus excision, can be highly effective.
Early diagnosis and treatment are crucial for favorable patient outcomes in cases of aortic thrombus-related stroke.