title: Resolution of an aortic mobile mass with anticoagulation without evidence of arterial embolism.
abstract: The prognostic significance of aortic mobile debris detected by transesophageal echocardiography (TEE) in patients without history of embolism has not been established. A mobile aortic arch mass was found by TEE in a 59-year-old man with coronary artery disease, and with rheumatic mitral valve disease, and with no embolic symptoms. The patient was anticoagulated for 6 weeks and the mass was no longer seen on repeated TEE. He had no embolic symptoms during 9 months of follow-up. Different therapeutic approaches to mobile aortic debris are discussed and anticoagulant treatment of asymptomatic cases is advocated.
authors.affiliation: National Institute of Cardiology, Warsaw, Poland.
authors.forename: T
authors.initials: T
authors.lastname: Pasierski
authors.forename: S
authors.initials: S
authors.lastname: Jasek
authors.forename: B
authors.initials: B
authors.lastname: Firek
authors.forename: A
authors.initials: A
authors.lastname: Przybylski
authors.forename: H
authors.initials: H
authors.lastname: Szwed
authors.forename: Z
authors.initials: Z
authors.lastname: Sadowski
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use*; D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy*; D017548:Echocardiography, Transesophageal; D006493:Heparin / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy*
chemical_list: D000925:Anticoagulants; D006493:Heparin