A Case of Huge Thrombus in the Aortic Arch with Cerebrovascular Embolization.
10.4250/jcu.2009.17.4.148
- Author:
In Wook SONG
1
;
Geu Ru HONG
;
Jung Hwan CHO
;
Sun Young JUNG
;
Chang Woo SON
;
Sang Hee LEE
;
Young Jo KIM
;
Dong Gu SHIN
;
Jong Seon PARK
;
Bong Sup SHIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, College of Medicine, Yeungnam University, Daegu, Korea. grhong@med.yu.ac.kr
- Publication Type:Case Report
- Keywords:
Aortic thrombus;
Echocardiography
- MeSH:
Anticoagulants;
Aorta, Thoracic;
Cerebral Infarction;
Echocardiography;
Echocardiography, Transesophageal;
Embolism;
Humans;
Risk Factors;
Thrombectomy;
Thrombosis
- From:Journal of Cardiovascular Ultrasound
2009;17(4):148-150
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.