PMC3352616_01
Patient 1 (a) CT scan shows infarct in the left PCA territory (arrow) and (b, c) angiogram shows the cigar-shaped thrombus (arrows) in the left CCA. (d) Angiogram (lateral view) shows the fetal PCA.
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F1
It revealed mural thrombus [Figures 1-4] in the common carotid artery in all the cases.
Patient 2 (a, b) Right CCA angiogram shows the filling defect suggestive of mural thrombus and (c) normal intracranial cerebral circulation.
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F2
It revealed mural thrombus [Figures 1-4] in the common carotid artery in all the cases.
Patient 3 (a, b) MR shows small foci of restricted diffusion suggesting acute infarcts in the right MCA territory (arrows). Patient 3 (c,d) Right CCA angiogram on lateral views shows filling defect (arrows) in the distal common carotid artery extending into the external carotid artery. (e) Intracranial cerebral angiogram is normal.
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F3
It revealed mural thrombus [Figures 1-4] in the common carotid artery in all the cases.
Patient 4 (a,b) Left CCA angiogram shows cigar-shaped partially adherent mural thrombus in the left CCA and (c) normal intracranial circulation.
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F4
It revealed mural thrombus [Figures 1-4] in the common carotid artery in all the cases.
Follow-up carotid Doppler images of (a) Patient 1 (b) Patient 2 (c) Patient 3 and (d) Patient 4 show complete dissolution of thrombus with normal flow in the artery.
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F5
Duplex Doppler scan done after 6 months in all the patients [Figure 5] showed normal flow and complete clot dissolution without any underlying wall abnormalities like atheromatous plaque or dissection.