Recognizing blind spots on echocardiography: Incremental benefit of cardiac CT in investigating the source of systemic embolism

Transesophageal echocardiography is the gold-standard for evaluating potential central sources of thromboembolism. Despite its routine use and excellent safety profile, limitations exist in the ability to effectively assess the aortic arch and proximal descending aorta with this imaging modality. We...

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Bibliographic Details
Published inRadiology case reports Vol. 18; no. 7; pp. 2376 - 2377
Main Authors Zellmer, Lucas, Punjabi, Gopal, Shroff, Gautam R.
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.07.2023
Elsevier
Subjects
Aorta
Cardioembolism
Case Report
Echocardiography
Gated cardiac CT
PFO
Aorta
Gated cardiac CT
Echocardiography
TEE
Cardioembolism
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Summary:Transesophageal echocardiography is the gold-standard for evaluating potential central sources of thromboembolism. Despite its routine use and excellent safety profile, limitations exist in the ability to effectively assess the aortic arch and proximal descending aorta with this imaging modality. We herein present a case of a 59 year-old patient presenting with renal and splenic infarcts, without obvious cardioembolic source on echocardiography, who was found to have a large, mobile aortic thrombus on gated cardiac computed tomography.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2023.04.002