Complete resolution of long pedunculated thrombus of the proximal ascending aorta following conservative management: an interesting case.
Surya Nandan PrasadSelvamurugan VigneshRajendra Vishnu PhadkePublished in: BMJ case reports (2021)
We report a case of a 60-year-old woman who presented clinically with symptoms of acute embolic stroke. On workup with MRI, carotid Doppler and subsequent CT angiography, a long pedunculated mobile thrombus was seen with the base of the thrombus attached to the ascending aorta and the tip protruding into the left common carotid artery. She was advised urgent cardiovascular surgery consultation; however, she preferred medical management over surgery. She was put on dual antiplatelet therapy. On follow-up after 6 months, there was complete resolution of the thrombus.
Keyphrases
- antiplatelet therapy
- aortic dissection
- pulmonary artery
- minimally invasive
- coronary artery bypass
- percutaneous coronary intervention
- acute coronary syndrome
- aortic valve
- coronary artery
- healthcare
- atrial fibrillation
- magnetic resonance imaging
- surgical site infection
- liver failure
- single molecule
- palliative care
- contrast enhanced
- computed tomography
- intensive care unit
- diffusion weighted imaging
- blood brain barrier