Open AccessResolution of an aortic mobile mass with anticoagulation without evidence of arterial embolism
Author(s) -
Pasierski T.,
Jasek S.,
Firek B.,
Przbylski A.,
Szwed H.,
Sadowski Z.
Publication year - 1996
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960190215
Subject(s) - medicine , asymptomatic , arterial embolism , aortic arch , embolism , cardiology , coronary artery disease , aorta , radiology , surgery
The prognostic significance of aortic mobile debris detected by transesophageal echocardiography (TEE) in patients without history of embolism has not been established. A mobile aortic arch mass was found by TEE in a 59‐year‐old man with coronary artery disease, and with rheumatic mitral valve disease, and with no embolic symptoms. The patient was anticoagulated for 6 weeks and the mass was no longer seen on repeated TEE. He had no embolic symptoms during 9 months of follow‐up. Different therapeutic approaches to mobile aortic debris are discussed and anticoagulant treatment of asymptomatic cases is advocated.