Cerebral Infarction Caused by Floating Thoracic aortic Thrombus in Young Male.
- Author:
Jin Ho SONG
1
;
Geung Dong PARK
;
Kil Hyun CHO
;
Doo Il KIM
;
Dong Soo KIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, College of Medicine, In-Je University, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Cerebral infarction;
Aortic thrombus;
Systemic embolization
- MeSH:
Aorta, Thoracic;
Cerebral Infarction*;
Diagnosis;
Echocardiography, Transesophageal;
Embolism;
Endarterectomy;
Humans;
Male*;
Risk Factors;
Thrombosis*
- From:Journal of the Korean Society of Echocardiography
2000;8(2):236-240
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A case of embolic episode resulting in cerebral infarction from an unknown source is reported. This occured in a young male. He had no cardiovascular risk factors. Diagnostic evaluation for identifying the source of embolism revealed a large, pedunculated and mobile thrombus arising from a nonaneurysmatic and nonatheroslerotic descending aorta. The thrombus was identified by transesophageal echocardiography, and was successfully removed by aortic thromboendarterectomy. We emphasize the importnace of transesophageal echocardiography as a reliable method for the diagnosis of thoracic aorta diseases and for identification of aortic thrombi. An aggressive surgical approach is recommended in the low-risk parient to prevent further embolic episodes.
