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Complete resolution of long pedunculated thrombus of the proximal ascending aorta following conservative management: an interesting case
  1. Surya Nandan Prasad1,
  2. Vivek Singh1,
  3. Vignesh Selvamurugan1 and
  4. Rajendra Vishnu Phadke2
  1. 1Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  2. 2Radiology, Apollomedics Super Speciality Hospitals, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Vivek Singh; singhvivek79{at}rediffmail.com

Abstract

We report a case of a 60-year-old woman who presented clinically with symptoms of acute embolic stroke. On workup with MRI, carotid Doppler and subsequent CT angiography, a long pedunculated mobile thrombus was seen with the base of the thrombus attached to the ascending aorta and the tip protruding into the left common carotid artery. She was advised urgent cardiovascular surgery consultation; however, she preferred medical management over surgery. She was put on dual antiplatelet therapy. On follow-up after 6 months, there was complete resolution of the thrombus.

  • cardiovascular system
  • neuroimaging
  • stroke
  • vascular surgery

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Footnotes

  • Contributors SNP and VS conceived the manuscript. SNP prepared the manuscript. VS collected the images and also helped in manuscript preparation. RVP and VS edited the manuscript. The final manuscript was read and approved by all the authors.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.