FLOATING THROMBUS IN THE DISTAL PART OF AORTIC ARCH – THE RARE SOURCE OF SYSTEMIC EMBOLISM
 
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1
Department of Cardiology and Congenital Diseases of Adults, Polish Mother's Memorial Hospital Research Institute (PMMHRI), Rzgowska 281/289, 93-338 Lodz
2
Department of Hypertension, Chair of Nephrology and Hypertension, Medical University of Lodz, Poland
CORRESPONDING AUTHOR
Agata Magdalena Bielecka-Dabrowa   

Department of Hypertension, Chair of Nephrology and Hypertension, Medical University of Lodz, Poland
Publication date: 2019-05-31
 
Heart Beat 2018;3:111–113
 
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ABSTRACT
Background:
Floating thrombus in non-atherosclerotic and non-aneurysmal aortic arch is a rare event. The risk of potentially catastrophic embolisation is high, especially in younger population.

Material and methods:
Transesophageal echocardiography is the diagnostic method of choice.

Results:
The treatment of this pathology is still controversial and includes medical, surgical and endovascular options. We report a 55-year-old female and a review of the literature.

Conclusions:
Regardless of the method of thrombus removal from the aortic arch, the permanent anticoagulant is indicated to prevent recurrence of clots.

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