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[Incidental CT discovery of an isolated thrombus in the aortic arch]
S Heuls1, R Carlioz, P Brandstatt
1Service de Médecine Aéronautique et Pathologie Cardio-vasculaire, HIA Percy, Clamart.
Insights
This case highlights an isolated aortic arch thrombus found incidentally. Transesophageal echocardiography proved valuable for diagnosis and monitoring, guiding treatment for this rare embolic event.
Area of Science:
- Cardiovascular Medicine
- Diagnostic Imaging
Background:
- Aortic arch thrombi are rare but can lead to serious embolic complications.
- Incidental findings during imaging studies necessitate clear diagnostic and management pathways.
Observation:
- An isolated thrombus of the aortic arch was incidentally discovered via thoracic CT angiography.
- The patient presented with clinical signs of embolic renal infarction, even after initiating anticoagulant therapy.
Findings:
- Transesophageal echocardiography is confirmed as a valuable tool for diagnosing and monitoring aortic arch thrombi.
- The case illustrates a therapeutic approach for managing aortic thrombi and their embolic sequelae.
Implications:
- This case underscores the importance of comprehensive evaluation for unexpected findings like aortic arch thrombi.
- Effective diagnostic and therapeutic strategies are crucial for managing patients with embolic events originating from aortic thrombi.
Abstract:
The authors report a case of isolated thrombus of the aortic arch discovered incidentally during thoracic CT angiography, complicated by clinical features of embolic renal infarction despite introduction of anticoagulant treatment. This case confirms the value of transoesophageal echocardiography to diagnose and follow these lesions and illustrates the therapeutic approach following discovery of aortic thrombi.