THROMBUS OF THE ASCENDING AORTA AS A SOURCE OF CEREBRAL EMBOLISM

被引:32
作者
FARAH, MG [1 ]
HAWAWINI, H [1 ]
机构
[1] CASE WESTERN RESERVE UNIV,DEPT MED,CLEVELAND,OH 44106
关键词
D O I
10.1378/chest.104.5.1604
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
A 74-year-old woman presented with a stroke. Transesophageal echocardiography showed evidence of a thrombus attached to the wall of the ascending aorta that was not detected by the transthoracic approach. The thrombus was no longer present after treatment with heparin with no recurrent embolic event. To our knowledge, this is the first report of a thrombus attached to the ascending aorta that was no longer present after treatment with heparin, was detected by transesophageal echocardiography, and was thought to be the source of cerebral embolic event.
引用
收藏
页码:1604 / 1605
页数:2
相关论文
共 10 条
[1]   LEFT ATRIAL SPONTANEOUS ECHO CONTRAST - A CLINICAL AND ECHOCARDIOGRAPHIC ANALYSIS [J].
BLACK, IW ;
HOPKINS, AP ;
LEE, LCL ;
WALSH, WF ;
JACOBSON, BM .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 18 (02) :398-404
[2]   PREVALENCE AND CLINICAL IMPLICATIONS OF ATRIAL SPONTANEOUS CONTRAST IN PATIENTS UNDERGOING TRANSESOPHAGEAL ECHOCARDIOGRAPHY [J].
CASTELLO, R ;
PEARSON, AC ;
LABOVITZ, AJ .
AMERICAN JOURNAL OF CARDIOLOGY, 1990, 65 (16) :1149-1153
[3]   RECOGNITION AND EMBOLIC POTENTIAL OF INTRAAORTIC ATHEROSCLEROTIC DEBRIS [J].
KARALIS, DG ;
CHANDRASEKARAN, K ;
VICTOR, MF ;
ROSS, JJ ;
MINTZ, GS .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 17 (01) :73-78
[4]   SUPERIORITY OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN DETECTING CARDIAC SOURCE OF EMBOLISM IN PATIENTS WITH CEREBRAL-ISCHEMIA OF UNCERTAIN ETIOLOGY [J].
PEARSON, AC ;
LABOVITZ, AJ ;
TATINENI, S ;
GOMEZ, CR .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 17 (01) :66-72
[5]   ATRIAL SEPTAL ANEURYSM AND STROKE - A TRANSESOPHAGEAL ECHOCARDIOGRAPHIC STUDY [J].
PEARSON, AC ;
NAGELHOUT, D ;
CASTELLO, R ;
GOMEZ, CR ;
LABOVITZ, AJ .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 18 (05) :1223-1229
[6]   TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN THE DETECTION OF INTRACARDIAC EMBOLIC SOURCES IN PATIENTS WITH TRANSIENT ISCHEMIC ATTACKS [J].
POP, G ;
SUTHERLAND, GR ;
KOUDSTAAL, PJ ;
SIT, TW ;
DEJONG, G ;
ROELANDT, JRTC .
STROKE, 1990, 21 (04) :560-565
[7]   ATHEROMATOSIS OF THE AORTIC-ARCH AS AN OCCULT SOURCE OF MULTIPLE SYSTEMIC EMBOLI [J].
TUNICK, PA ;
CULLIFORD, AT ;
LAMPARELLO, PJ ;
KRONZON, I .
ANNALS OF INTERNAL MEDICINE, 1991, 114 (05) :391-392
[8]   PROTRUDING ATHEROSCLEROTIC PLAQUE IN THE AORTIC-ARCH OF PATIENTS WITH SYSTEMIC EMBOLIZATION - A NEW FINDING SEEN BY TRANSESOPHAGEAL ECHOCARDIOGRAPHY [J].
TUNICK, PA ;
KRONZON, I .
AMERICAN HEART JOURNAL, 1990, 120 (03) :658-660
[9]   PROTRUDING ATHEROMAS IN THE THORACIC AORTA AND SYSTEMIC EMBOLIZATION [J].
TUNICK, PA ;
PEREZ, JL ;
KRONZON, I .
ANNALS OF INTERNAL MEDICINE, 1991, 115 (06) :423-427
[10]   TRANS-ESOPHAGEAL TWO-DIMENSIONAL ECHOCARDIOGRAPHY IN YOUNG-PATIENTS WITH CEREBRAL ISCHEMIC EVENTS [J].
ZENKER, G ;
ERBEL, R ;
KRAMER, G ;
MOHRKAHALY, S ;
DREXLER, M ;
HARNONCOURT, K ;
MEYER, J .
STROKE, 1988, 19 (03) :345-348