Ascending and Aortic Arch Thrombus: Cause of Myocardial Infarction and Lower Extremity Ischemia

Nneoma Olivia Okoronkwo, Frank Wang, Gabriele Di Luozzo


Ascending aortic thrombus is a rare finding that might lead to life-threatening thromboembolic events. With no specific guidelines, controversy exists regarding management ranging from surgical resection, thrombolytic therapy, and thrombectomy to anticoagulation therapy. We report a particularly interesting case of a 61-year-old woman presenting with NSTEMI and lower extremity claudication from an embolic thrombus in the distal ascending aorta and proximal aortic arch treated medically with anticoagulation. Repeat imaging in 2 months revealed resolution of the thrombus.

J Med Cases. 2015;6(4):156-158


Ascending aorta; Aortic thrombus; Anticoagulation

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