Key result
DAPT completely resolves a long pedunculated proximal ascending aortic thrombus at 6 months.
Why the study?
Does dual antiplatelet therapy lead to resolution of a long pedunculated thrombus of the proximal ascending aorta?
Case Report (n=1)
Does dual antiplatelet therapy lead to resolution of a long pedunculated thrombus of the proximal ascending aorta?
Conservative management with dual antiplatelet therapy can lead to complete resolution of a long pedunculated thrombus in the ascending aorta.
DAPT may resolve ascending aortic thrombus conservatively; leaves open optimal therapy and generalizability.
We report a case of a 60-year-old woman who presented clinically with symptoms of acute embolic stroke. On workup with MRI, carotid Doppler and subsequent CT angiography, a long pedunculated mobile thrombus was seen with the base of the thrombus attached to the ascending aorta and the tip protruding into the left common carotid artery. She was advised urgent cardiovascular surgery consultation; however, she preferred medical management over surgery. She was put on dual antiplatelet therapy. On follow-up after 6 months, there was complete resolution of the thrombus.
No takes yet. Share an insight, caveat, or question.
Prasad et al. (2021) conducted a case report in Long pedunculated thrombus of the proximal ascending aorta (n=1). Dual antiplatelet therapy was evaluated on Resolution of the thrombus. Dual antiplatelet therapy resulted in complete resolution of a long pedunculated thrombus of the proximal ascending aorta at 6 months follow-up.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: