title: Symptomatic thoracic aorta mural thrombus.
abstract: Cases of mural aortic arch thromboses are generally associated with diffuse atherosclerosis of the aortic arch and have primarily been detected in elderly patients. However, the presence of mural thrombi in the aortic arch in young patients without diffuse atherosclerosis has rarely been reported. We describe a case of a hypercoagulable young patient with arterial embolism in whom investigations revealed a mural pedunculated aortic arch thrombosis without clear diffuse atherosclerotic lesions.
authors.affiliation: Department of Vascular and Endovascular Surgery, Toronto General Hospital, Toronto, ON, Canada. grnagle@rcsi.ie
authors.forename: Graham
authors.initials: G
authors.lastname: Roche-Nagle
authors.forename: Douglas
authors.initials: D
authors.lastname: Wooster
authors.forename: George
authors.initials: G
authors.lastname: Oreopoulos
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging; D001018:Aortic Diseases / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D001027:Aortography / Q000379:methods; D001916:Brachial Artery / Q000000981:diagnostic imaging / Q000601:surgery; D017548:Echocardiography, Transesophageal; D017128:Embolectomy; D004617:Embolism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005165:Factor V; D006801:Humans; D008297:Male; D017354:Point Mutation; D013927:Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000235:genetics; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants; C095381:factor V Leiden; D005165:Factor V