A case of huge thrombus in the aortic arch with cerebrovascular embolization.
Pedunculated thrombus in the aortic arch that is associated with cerebral infarction is very rare requires prompt diagnosis and treatment to prevent occurrence of another devastating complication. Transesophageal echocardiography is useful for detecting source of embolism including aortic thrombi. The treatment options of aortic thrombi involves anticoagulation, thrombolysis, thromboaspiration, and thrombectomy. Here we report a case of huge thrombus in the aortic arch, resulting in acute multifocal cerebellar embolic infarct in patient without any risk factors for vascular thrombosis. Thrombi in the aortic arch were diagnosed by transesophageal echocardiography and treated with anticoagulants successfully.
Song
In Wook
IW
Division of Cardiology, Department of Internal Medicine, College of Medicine, Yeungnam University, Daegu, Korea.
Hong
Geu-Ru
GR
Cho
Jung Hwan
JH
Jung
Sun Young
SY
Son
Chang Woo
CW
Lee
Sang Hee
SH
Kim
Young Jo
YJ
Shin
Dong Gu
DG
Park
Jong Seon
JS
Shim
Bong Sup
BS