Key result
Transesophageal echocardiography revealed a massive aortic arch thrombus in a 59-year-old woman presenting with recurrent acute limb ischemia.
This case report highlights the identification of massive aortic arch thrombus via transesophageal echocardiography in a patient presenting with severe acute limb ischemia.
Supports TEE evaluation in unexplained recurrent limb ischemia; case report leaves open prospective validation of aortic arch thrombus management.
The following is an account of a 58-year-old lady who presented to our institution with two episodes of acute limb ischemia: one upper, which required embolectomy; and one lower, which required a below knee amputation. We subsequently performed transesophageal echocardiography (TOE), which revealed very large mobile echogenic masses adherent to the wall of her aortic arch, described below.
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O’Sullivan et al. (2007) studied this question. Transesophageal echocardiography revealed a massive aortic arch thrombus in a 59-year-old woman presenting with recurrent acute limb ischemia.
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