A case of mobile aortic arch thrombus with systemic embolisation--a management dilemma.
We report the case of splenic infarct secondary to embolisation from a polypoid 17 mm×10 mm thoracic aorta thrombi in a 60 year-old female. The management and prognostic value of thoracic aorta thrombi are poorly defined in literature. This patient was successfully treated with oral anticoagulation as opposed to surgical intervention. Repeat transoesophageal echocardiography and computed tomography have demonstrated marked reduction in thrombi size with no further embolic event.
Department of Cardiology, Gold Coast University Hospital, 1 Hospital Blvd, Southport, QLD 4215, Australia. Electronic address: priyankadhillon84@hotmail.com.
Priyanka
P
Dhillon
Department of Cardiology, Gold Coast University Hospital, 1 Hospital Blvd, Southport, QLD 4215, Australia; The University of Queensland, Brisbane, QLD, Australia.
Dale
D
Murdoch
Department of Cardiology, Gold Coast University Hospital, 1 Hospital Blvd, Southport, QLD 4215, Australia; Griffith University, School of Medicine, Gold Coast, QLD, Australia.
Rohan
R
Jayasinghe
Department of Cardiology, Gold Coast University Hospital, 1 Hospital Blvd, Southport, QLD 4215, Australia; Griffith University, School of Medicine, Gold Coast, QLD, Australia.
Selvanayagam
S
Niranjan
D000284:Administration, Oral; D000925:Anticoagulants / Q000008:administration & dosage*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008875:Middle Aged; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000628:therapy*; D014463:Ultrasonography
D000925:Anticoagulants
Oral anticoagulation; Peripheral embolisation; Splenic infarct; Thoracic aorta thrombi; Transoesophageal echocardiography