PMC6189665_01
Coronal and axial view of aortic arch depicted the presence of thrombus in a calcified lesion.
CRIVAM2018-2040925.001.jpg
PMC6189665_01_CRIVAM2018-2040925.001.jpg
fig1
It revealed a nonadherent thrombus of 20 mm long in the distal part of aortic arch (Figures 1 and 2). Antithrombin III, APC Resistance-V, Factor VIII, homocysteine, and Anticardiolipin antibodies was performed which was negative. A transesophageal echocardiography was scheduled which showed a pedunculated free floating thrombus (FFT) 23 mm long of aortic arch (Figures 3 and 4, Video 1).
Coronal and axial view of aortic arch depicted the presence of thrombus in a calcified lesion.
CRIVAM2018-2040925.002.jpg
PMC6189665_01_CRIVAM2018-2040925.002.jpg
fig2
It revealed a nonadherent thrombus of 20 mm long in the distal part of aortic arch (Figures 1 and 2).
|Transesophageal echocardiography showed a 23 mm mobile thrombus in the lesser curvature of aortic arch.
CRIVAM2018-2040925.003.jpg
PMC6189665_01_CRIVAM2018-2040925.003.jpg
fig3
Antithrombin III, APC Resistance-V, Factor VIII, homocysteine, and Anticardiolipin antibodies was performed which was negative. A transesophageal echocardiography was scheduled which showed a pedunculated free floating thrombus (FFT) 23 mm long of aortic arch (Figures 3 and 4, Video 1).
|Transesophageal echocardiography showed a 23 mm mobile thrombus in the lesser curvature of aortic arch.
CRIVAM2018-2040925.004.jpg
PMC6189665_01_CRIVAM2018-2040925.004.jpg
fig4
Antithrombin III, APC Resistance-V, Factor VIII, homocysteine, and Anticardiolipin antibodies was performed which was negative. A transesophageal echocardiography was scheduled which showed a pedunculated free floating thrombus (FFT) 23 mm long of aortic arch (Figures 3 and 4, Video 1).
CT angiography revealed dislodgement of aortic thrombus and occlusion of the left common femoral artery (Absence of contrast agent in the arterial phase).
CRIVAM2018-2040925.005.jpg
PMC6189665_01_CRIVAM2018-2040925.005.jpg
fig5
A provisional diagnosis of acute left leg ischemia was established and CT angiography of thoracic and abdominal aorta was performed which revealed complete dislodgement of thrombus from aortic arch which embolized as whole "thrombus" and thrombosis of left external iliac and common femoral artery (Figures 5 and 6).
CT angiography revealed dislodgement of aortic thrombus and occlusion of the left common femoral artery (Absence of contrast agent in the arterial phase).
CRIVAM2018-2040925.006.jpg
PMC6189665_01_CRIVAM2018-2040925.006.jpg
fig6
A provisional diagnosis of acute left leg ischemia was established and CT angiography of thoracic and abdominal aorta was performed which revealed complete dislodgement of thrombus from aortic arch which embolized as whole "thrombus" and thrombosis of left external iliac and common femoral artery (Figures 5 and 6).