Mobile thrombus from a ruptured plaque in the brachiocephalic artery.
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.
Nakajima
Makoto
M
Department of Medicine, Cerebrovascular Division, National Cardiovascular Center, Suita, Japan. nakazima@fc.kuh.kumamoto-u.ac.jp
Yasaka
Masahiro
M
Minematsu
Kazuo
K
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
D000925:Anticoagulants; D005338:Fibrin Fibrinogen Degradation Products; D006493:Heparin