Key result
Conservative medical management with anticoagulation successfully resolved an ascending and aortic arch thrombus in a 61-year-old woman after 2 months.
Case Report (n=1)
No
Conservative management with anticoagulation successfully resolved a rare ascending aortic and aortic arch thrombus that presented with systemic embolization.
Anticoagulation resolved rare aortic thrombus in one case; hypothesis-generating and should not change practice without controlled data.
Ascending aortic thrombus is a rare finding that might lead to life-threatening thromboembolic events. With no specific guidelines, controversy exists regarding management ranging from surgical resection, thrombolytic therapy, and thrombectomy to anticoagulation therapy. We report a particularly interesting case of a 61-year-old woman presenting with NSTEMI and lower extremity claudication from an embolic thrombus in the distal ascending aorta and proximal aortic arch treated medically with anticoagulation. Repeat imaging in 2 months revealed resolution of the thrombus. J Med Cases. 2015;6(4):156-158 doi: http://dx.doi.org/10.14740/jmc2074w
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Okoronkwo et al. (2015) conducted a case report in Ascending and aortic arch thrombus (n=1). Anticoagulation (heparin bridged to warfarin) was evaluated on Resolution of thrombus. Conservative medical management with anticoagulation successfully resolved an ascending and aortic arch thrombus in a 61-year-old woman after 2 months.
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