Aortic Tumor or Mobile Thrombus?

Isolated large mobile mass in the thoracic aorta can be due to thrombus or, rarely, aortic tumor. We report the case of a 61‐year‐old man with no history of medical problems presenting with neurologic deficits and in whom a large mobile echogenic mass in the distal aortic arch was found with transes...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2010-02, Vol.27 (2), p.E21-E22
Main Authors: Loiselle, Andrea, Agrwal, Neera, Ingall, Timothy J., Chaliki, Hari P.
Format: Article
Language:English
Subjects:
Aorta - diagnostic imaging
aortic arch
Aortic Valve Stenosis - diagnostic imaging
atherosclerosis
Diagnosis, Differential
Heart Neoplasms - diagnostic imaging
Humans
ischemic stroke
Male
Middle Aged
mobile components
Thrombosis - diagnostic imaging
thrombus
transesophageal echocardiography
Ultrasonography
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Summary:Isolated large mobile mass in the thoracic aorta can be due to thrombus or, rarely, aortic tumor. We report the case of a 61‐year‐old man with no history of medical problems presenting with neurologic deficits and in whom a large mobile echogenic mass in the distal aortic arch was found with transesophageal echocardiography. Given his few cardiovascular risk factors and absence of other systemic symptoms, he received anticoagulant therapy. Subsequent resolution of the aortic mass suggested a diagnosis of thrombus. This case illustrates an unusual manifestation of aortic arch atherosclerosis and underscores the utility of transesophogeal echocardiography for patients with ischemic stroke. (Echocardiography 2010;27:E21‐E22) Isolated large mobile mass in the thoracic aorta can be due to a large thrombus or, rarely, aortic tumor. A large mobile echogenic mass in the distal aortic arch was found by transesophageal echocardiography in a 61 year old male presenting with neurologic deficits. Given his few cardiovascular risk factors and absence of other systemic symptoms, we treated the patient with anticoagulant therapy. Subsequent resolution of the aortic mass confirmed a diagnosis of thrombus. This case illustrates an unusual manifestation of atherosclerosis of the aortic arch and underscores the utility of transesophogeal echocardiography in evaluating patients with ischemic stroke.
ISSN:0742-2822
1540-8175
DOI:10.1111/j.1540-8175.2009.01073.x