title: Mobile thrombus from a ruptured plaque in the brachiocephalic artery.
abstract: An 86-year-old man with a history of brain infarction was admitted because of recurrent stroke with symptoms of left hemiparesis. Ultrasonography revealed a mobile thrombus in the brachiocephalic artery. Although anticoagulant therapy was commenced, neurologic symptoms deteriorated suddenly and he died on the third day. Autopsy indicated that the thrombus resulted from plaque rupture in the brachiocephalic artery.
authors.affiliation: Department of Medicine, Cerebrovascular Division, National Cardiovascular Center, Suita, Japan. nakazima@fc.kuh.kumamoto-u.ac.jp
authors.forename: Makoto
authors.initials: M
authors.lastname: Nakajima
authors.forename: Masahiro
authors.initials: M
authors.lastname: Yasaka
authors.forename: Kazuo
authors.initials: K
authors.lastname: Minematsu
mesh_terms: D000369:Aged, 80 and over; D000925:Anticoagulants / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000150:complications / Q000503:physiopathology; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology; D020520:Brain Infarction / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D016893:Carotid Stenosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology* / Q000503:physiopathology; D018450:Disease Progression; D017809:Fatal Outcome; D005338:Fibrin Fibrinogen Degradation Products / Q000032:analysis / Q000378:metabolism; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D020767:Intracranial Thrombosis / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008297:Male; D020521:Stroke / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D013927:Thrombosis / Q000150:complications* / Q000473:pathology* / Q000503:physiopathology; D014463:Ultrasonography
chemical_list: D000925:Anticoagulants; D005338:Fibrin Fibrinogen Degradation Products; D006493:Heparin