Massive thrombus in the aortic arch: a 59-year-old lady with an unknown familial predisposition to vascular thrombosis.
The following is an account of a 58-year-old lady who presented to our institution with two episodes of acute limb ischemia: one upper, which required embolectomy; and one lower, which required a below knee amputation. We subsequently performed transesophageal echocardiography (TOE), which revealed very large mobile echogenic masses adherent to the wall of her aortic arch, described below.
O'Sullivan
John
J
Mercy University Hospital, Cork, Ireland. osull.john@gmail.com
Kerins
David
D
Vaughan
Carl
C
D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D017548:Echocardiography, Transesophageal; D005121:Extremities / Q000098:blood supply*; D005260:Female; D020022:Genetic Predisposition to Disease; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D013923:Thromboembolism / Q000209:etiology; D013927:Thrombosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000235:genetics