Asymptomatic floating thrombus in the ascending aorta depicted on four-dimensional computed tomography

Aortic mural thrombi of the ascending aorta are rare. If an aortic mural thrombus is dislodged, it can cause various embolic complications, which can sometimes be fatal. Although contrast-enhanced computed tomography (CT) and transesophageal echography are useful for diagnosing aortic mural thrombi,...

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Published inSAGE open medical case reports Vol. 8; p. 2050313
Main Authors Nishimura, Takamasa, Sueyoshi, Eijun, Tasaki, Yuichi, Uetani, Masataka
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.11.2020
Sage Publications Ltd
SAGE Publishing
Subjects
Asymptomatic
Blood clots
Case Report
Case reports
Coronary vessels
floating thrombus
Four-dimensional computed tomography
fibrin thrombus
ascending aorta
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Summary:Aortic mural thrombi of the ascending aorta are rare. If an aortic mural thrombus is dislodged, it can cause various embolic complications, which can sometimes be fatal. Although contrast-enhanced computed tomography (CT) and transesophageal echography are useful for diagnosing aortic mural thrombi, four-dimensional CT (4D-CT) is one of the most useful modalities for both diagnosis and treatment selection in such cases. 4D-CT can be used to evaluate the morphology and mobility of thrombi. Furthermore, it is minimally invasive. To the best of our knowledge, there have not been any reports about 4D-CT being used to depict an asymptomatic ascending aortic thrombus. We report a very unusual case, involving an aortic mural thrombus of the ascending aorta.
ISSN:2050-313X
2050-313X
DOI:10.1177/2050313X20971894