Ascending and Aortic Arch Thrombus: Cause of Myocardial Infarction and Lower Extremity Ischemia

Abstract

Ascending aortic thrombus is a rare finding that might lead to life-threatening thromboembolic events. With no specific guidelines, controversy exists regarding management ranging from surgical resection, thrombolytic therapy, and thrombectomy to anticoagulation therapy. We report a particularly interesting case of a 61-year-old woman presenting with NSTEMI and lower extremity claudication from an embolic thrombus in the distal ascending aorta and proximal aortic arch treated medically with anticoagulation. Repeat imaging in 2 months revealed resolution of the thrombus.




J Med Cases. 2015;6(4):156-158
doi: http://dx.doi.org/10.14740/jmc2074w