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KMID : 0390620000080020236
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Journal of Cardiovascular Ultrasound
2000 Volume.8 No. 2 p.236 ~ p.240
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Cerebral Infarction Caused by Floating Thoracic aortic Thrombus in Young Male
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Song Jin-Ho
Park Geung-Dong
Cho Kil-Hyun
Kim Doo-Il
Kim Dong-Soo
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Abstract
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A case of embolic episode resulting in cerebral infarction from an unknown source is reported. This occured in a young male. He had no cardiovascular risk factors. Diagnostic evaluation for identifying the source of embolism revealed a large, pedunculated and mobile thrombus arising from a nonaneurysmatic and nonatheroslerotic descending aorta. The thrombus was identified by transesophageal echocardiography, and was successfully removed by aortic thromboendarterectomy. We emphasize the importnace of transesophageal echocardiography as a reliable method for the diagnosis of thoracic aorta diseases and for identification of aortic thrombi. An aggressive surgical approach is recommended in the low-risk parient to prevent further embolic episodes.
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KEYWORD
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Cerebral infarction, Aortic thrombus, Systemic embolization
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