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JCU 2000 ;8(2) :236-240.
Cerebral Infarction Caused by Floating Thoracic Aortic Thrombus in Young Male
Jin-Ho Song, Geung-Dong Park, Kil-Hyun Cho, Doo-Il Kim, Dong-Soo Kim
Division of Cardiology, Department of Internal Medicine, College of Medicine, In-Je University, Pusan, Korea
Corresponding Author: Dong-Soo Kim ,
ABSTRACT
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.
Keywords: Cerebral infarction, Aortic thrombus, Systemic embolization
Volume 25, No 3
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