Key result
Anticoagulant therapy led to the resolution of a large mobile aortic mass in a 61-year-old man, suggesting a diagnosis of thrombus rather than an aortic tumor.
Why the study?
Does anticoagulant therapy resolve a large mobile echogenic mass in the distal aortic arch in a patient presenting with neurologic deficits?
Case Report (n=1)
Does anticoagulant therapy resolve a large mobile echogenic mass in the distal aortic arch in a patient presenting with neurologic deficits?
Transesophageal echocardiography is useful for identifying unusual manifestations of aortic arch atherosclerosis, such as mobile thrombi, which can be successfully treated with anticoagulation in patients with ischemic stroke.
Supports anticoagulation for suspected aortic thrombus on TEE; leaves open prospective validation before changing practice.
Isolated large mobile mass in the thoracic aorta can be due to thrombus or, rarely, aortic tumor. We report the case of a 61-year-old man with no history of medical problems presenting with neurologic deficits and in whom a large mobile echogenic mass in the distal aortic arch was found with transesophageal echocardiography. Given his few cardiovascular risk factors and absence of other systemic symptoms, he received anticoagulant therapy. Subsequent resolution of the aortic mass suggested a diagnosis of thrombus. This case illustrates an unusual manifestation of aortic arch atherosclerosis and underscores the utility of transesophogeal echocardiography for patients with ischemic stroke.
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Loiselle et al. (2010) conducted a case report in Large mobile mass in the thoracic aorta (n=1). Anticoagulant therapy was evaluated on Resolution of the aortic mass. Anticoagulant therapy led to the resolution of a large mobile aortic mass in a 61-year-old man, suggesting a diagnosis of thrombus rather than an aortic tumor.
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