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July 1, 1997Circulation

23 cases of mobile aortic arch thromboses were identified from 27,855 TEE examinations; thromboses were mostly located on the concavity of the posterior segment of the aortic arch (n=14) and inserted on small atherosclerotic plaques in 21 patients.

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Why the study?

What are the clinical and echocardiographic characteristics of mobile aortic arch thromboses in young patients with arterial embolism?

Population

23 young patients with unexplained arterial embolism in the preceding weeks and mobile pedunculated aortic…

Design

Case_series

Authors

TLThierry LapercheCLClaude LaurianRRR. Roudaut

Discussion

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Overview

May explain embolism in young patients without overt atherosclerosis; leaves open prospective studies on detection and management.

Structured PICO

What are the clinical and echocardiographic characteristics of mobile aortic arch thromboses in young patients with arterial embolism?

P
Population
23 young patients with unexplained arterial embolism in the preceding weeks and mobile pedunculated aortic arch thrombosis without obvious diffuse aortic atherosclerosis or aortic debris, mean age 45±8.4 years.
I
Intervention
Intravenous heparin (all patients) and surgical removal of the thrombosis (n=10).
O
Outcome
Clinical and echocardiographic characteristics, location of thromboses, and prognosis.

Mobile thromboses of the aortic arch represent a variant form of aortic atherosclerotic disease that can cause arterial embolism in young patients without diffuse atherosclerosis.

Cite This Study

Laperche et al. (1997) studied this question.

synapsesocial.com/papers/6a208dc4bb4ba07152cc43e8https://doi.org/10.1161/01.cir.96.1.288
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