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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Main Authors: Takamasa Nishimura, Eijun Sueyoshi, Yuichi Tasaki, Masataka Uetani
Format: Article
Language:English
Published: SAGE Publishing 2020-11-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X20971894
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spelling doaj-726a270e649141d2881b98ceb6c76e352020-11-25T04:09:03ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2020-11-01810.1177/2050313X20971894Asymptomatic floating thrombus in the ascending aorta depicted on four-dimensional computed tomographyTakamasa Nishimura0Eijun Sueyoshi1Yuichi Tasaki2Masataka Uetani3Department of Radiological Sciences, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, JapanDepartment of Radiological Sciences, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, JapanDepartment of Cardiovascular Surgery, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, JapanDepartment of Radiological Sciences, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, JapanAortic 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.https://doi.org/10.1177/2050313X20971894
collection DOAJ
language English
format Article
sources DOAJ
author Takamasa Nishimura
Eijun Sueyoshi
Yuichi Tasaki
Masataka Uetani
spellingShingle Takamasa Nishimura
Eijun Sueyoshi
Yuichi Tasaki
Masataka Uetani
Asymptomatic floating thrombus in the ascending aorta depicted on four-dimensional computed tomography
SAGE Open Medical Case Reports
author_facet Takamasa Nishimura
Eijun Sueyoshi
Yuichi Tasaki
Masataka Uetani
author_sort Takamasa Nishimura
title Asymptomatic floating thrombus in the ascending aorta depicted on four-dimensional computed tomography
title_short Asymptomatic floating thrombus in the ascending aorta depicted on four-dimensional computed tomography
title_full Asymptomatic floating thrombus in the ascending aorta depicted on four-dimensional computed tomography
title_fullStr Asymptomatic floating thrombus in the ascending aorta depicted on four-dimensional computed tomography
title_full_unstemmed Asymptomatic floating thrombus in the ascending aorta depicted on four-dimensional computed tomography
title_sort asymptomatic floating thrombus in the ascending aorta depicted on four-dimensional computed tomography
publisher SAGE Publishing
series SAGE Open Medical Case Reports
issn 2050-313X
publishDate 2020-11-01
description 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.
url https://doi.org/10.1177/2050313X20971894
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AT yuichitasaki asymptomaticfloatingthrombusintheascendingaortadepictedonfourdimensionalcomputedtomography
AT masatakauetani asymptomaticfloatingthrombusintheascendingaortadepictedonfourdimensionalcomputedtomography
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