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A CASE OF HUGE THROMBUS IN THE AORTIC ARCH WITH CEREBROVASCULAR EMBOLIZATION

  • Song, In-Wook (Division of Cardiology, Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Hong, Geu-Ru (Division of Cardiology, Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Cho, Jung-Hwan (Division of Cardiology, Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Jung, Sun-Young (Division of Cardiology, Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Son, Chang-Woo (Division of Cardiology, Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Lee, Sang-Hee (Division of Cardiology, Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Kim, Young-Jo (Division of Cardiology, Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Shin, Dong-Gu (Division of Cardiology, Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Park, Jong-Seon (Division of Cardiology, Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Shim, Bong-Sup (Division of Cardiology, Department of Internal Medicine, College of Medicine, Yeungnam University)
  • 발행 : 2009.12.27

초록

Pedunculated thrombus in the aortic arch that is associated with cerebral infarction is very rare requires prompt diagnosis and treatment to prevent occurrence of another devastating complication. Transesophageal echocardiography is useful for detecting source of embolism including aortic thrombi. The treatment options of aortic thrombi involves anticoagulation, thrombolysis, thromboaspiration, and thrombectomy. Here we report a case of huge thrombus in the aortic arch, resulting in acute multifocal cerebellar embolic infarct in patient without any risk factors for vascular thrombosis. Thrombi in the aortic arch were diagnosed by transesophageal echocardiography and treated with anticoagulants successfully.

키워드

참고문헌

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피인용 문헌

  1. Successful Surgical Treatment of Trombus in the Aortic Arch vol.82, pp.4, 2012, https://doi.org/10.3904/kjm.2012.82.4.476
  2. Successful Anticoagulation Therapy for Antiphospholipid Syndrome with Mobile Aortic Thrombi vol.32, pp.4, 2009, https://doi.org/10.5758/vsi.2016.32.4.186
  3. Management of an acute cerebral embolic infarct with thrombolysis and mechanical thrombectomy in the presence of an aortic arch floating thrombus vol.14, pp.4, 2009, https://doi.org/10.1136/bcr-2020-238707