Korean J Med.
2012 Apr;82(4):476-480.
Successful Surgical Treatment of Trombus in the Aortic Arch
- Affiliations
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- 1Department of Internal Medicine, Hanil General Hospital, Seoul, Korea. jimmy5058@hanmail.net
- 2Department of Internal Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea.
- 3Department of Radiology, Sungkyunkwan University School of Medicine, Seoul, Korea.
Abstract
- Thrombi within the aortic arch are rare, and are generally detected after cerebral, visceral, or peripheral embolization. Although the indications for treatment remain controversial, there is increasing interest in the etiopathogenesis of this rare clinical entity and the development of appropriate diagnostic and therapeutic approaches. We report a case in which a thrombus was detected in the proximal aortic arch on echocardiography and computed tomography angiography as the origin of upperextremity ischemia. This pedunculated thrombus was attached to the atherosclerotic aortic wall and was removed surgically.
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