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European Journal of Echocardiography 2008 9(1):178-180; doi:10.1016/j.euje.2007.07.012
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org

Massive thrombus in the aortic arch: a 59-year-old lady with an unknown familial predisposition to vascular thrombosis

John O'Sullivan*, David Kerins and Carl Vaughan

Mercy University Hospital, Cork, Ireland

Received 23 March 2007; accepted after revision 22 July 2007; online publish-ahead-of-print 24 September 2007.

* Corresponding author. Tel: +353 87 6206941; fax: +353 21 4276341. E-mail address: osull.john{at}gmail.com


  Abstract

The following is an account of a 58-year-old lady who presented to our institution with two episodes of acute limb ischemia: one upper, which required embolectomy; and one lower, which required a below knee amputation. We subsequently performed transesophageal echocardiography (TOE), which revealed very large mobile echogenic masses adherent to the wall of her aortic arch, described below.

Keywords: Aortic arch; Thrombosis; Embolisation; Amputation


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