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KMID : 0390620090170040148
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Journal of Cardiovascular Ultrasound
2009 Volume.17 No. 4 p.148 ~ p.150
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A Case of Huge Thrombus in the Aortic Arch with Cerebrovascular Embolization
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Song In-Wook
Hong Geu-Ru
Lee Sang-Hee
Park Jong-Seon
Kim Young-Jo
Shin Dong-Gu
Son Chang-Woo
Jung Sun-Young
Shim Bong-Sup
Cho Jung-Hwan
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Abstract
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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.
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KEYWORD
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Aortic thrombus, Echocardiography
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