A Hanging Mass in the Ascending Aorta Diagnosed by Transthoracic Echocardiography in a Totally Asymptomatic Subject
Aortic mural thrombosis is generally associated with several diseases, including coagulopathies, aortic dissection or trauma, tumors, and complicated atherosclerotic plaques. The development of a friable mobile thrombus, especially in the ascending aorta or proximal aortic arch, is a rare event with...
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Veröffentlicht in: | Journal of the American Society of Echocardiography 2009-10, Vol.22 (10), p.1197.e5-1197.e7 |
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Sprache: | eng |
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Zusammenfassung: | Aortic mural thrombosis is generally associated with several diseases, including coagulopathies, aortic dissection or trauma, tumors, and complicated atherosclerotic plaques. The development of a friable mobile thrombus, especially in the ascending aorta or proximal aortic arch, is a rare event with potentially ominous consequences because of a life-threatening risk of stroke and peripheral embolization. The treatment of choice of this condition is still controversial. We report a case of an absolutely asymptomatic 57-year-old patient with a mobile, pedunculated mass attached to the posterior wall of an otherwise normal ascending aorta. The aortic mass, identified by transthoracic echocardiography, was surgically removed and demonstrated to be a thrombus, and the aortic wall specimen was microscopically normal. |
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ISSN: | 0894-7317 1097-6795 |
DOI: | 10.1016/j.echo.2009.04.017 |