title: Aortic tumor or mobile thrombus?
abstract: Isolated large mobile mass in the thoracic aorta can be due to thrombus or, rarely, aortic tumor. We report the case of a 61-year-old man with no history of medical problems presenting with neurologic deficits and in whom a large mobile echogenic mass in the distal aortic arch was found with transesophageal echocardiography. Given his few cardiovascular risk factors and absence of other systemic symptoms, he received anticoagulant therapy. Subsequent resolution of the aortic mass suggested a diagnosis of thrombus. This case illustrates an unusual manifestation of aortic arch atherosclerosis and underscores the utility of transesophogeal echocardiography for patients with ischemic stroke.
authors.affiliation: Division of Community Internal Medicine, Mayo Clinic, Scottsdale, Arizona 85259, USA.
authors.forename: Andrea
authors.initials: A
authors.lastname: Loiselle
authors.forename: Neera
authors.initials: N
authors.lastname: Agrwal
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Ingall
authors.forename: Hari P
authors.initials: HP
authors.lastname: Chaliki
mesh_terms: D001011:Aorta / Q000000981:diagnostic imaging*; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D006338:Heart Neoplasms / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013927:Thrombosis / Q000000981:diagnostic imaging*; D014463:Ultrasonography