title: A case of huge thrombus in the aortic arch with cerebrovascular embolization.
abstract: 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.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, College of Medicine, Yeungnam University, Daegu, Korea.
authors.forename: In Wook
authors.initials: IW
authors.lastname: Song
authors.forename: Geu-Ru
authors.initials: GR
authors.lastname: Hong
authors.forename: Jung Hwan
authors.initials: JH
authors.lastname: Cho
authors.forename: Sun Young
authors.initials: SY
authors.lastname: Jung
authors.forename: Chang Woo
authors.initials: CW
authors.lastname: Son
authors.forename: Sang Hee
authors.initials: SH
authors.lastname: Lee
authors.forename: Young Jo
authors.initials: YJ
authors.lastname: Kim
authors.forename: Dong Gu
authors.initials: DG
authors.lastname: Shin
authors.forename: Jong Seon
authors.initials: JS
authors.lastname: Park
authors.forename: Bong Sup
authors.initials: BS
authors.lastname: Shim