A 44-year-old woman presented with a recurrent peripheral embolism. Her past history was remarkable for blunt chest trauma 7 years before presentation. Transoesophageal echocardiography showed a floating mass in the descending aorta. Operative and pathological findings revealed an aged thrombus. Reliable diagnostic methods and appropriate treatment can prevent further embolic events.
KodaliSJamiesonWRELeia-StephensMMiyagishimaRTJanuszMTTyersGFO. Traumatic rupture of the thoracic aorta. Circulation1991; 84(Suppl. III): III40–6.
2.
KipfcrBLeupiFSchuepbachPFriedliDAlthausU.Acute traumatic rupture of the thoracic aorta: Immediate or delayed surgical repair?Eur J Cardiothorac Surg1994; 8: 30–3.
3.
AldrichHRGirardiLBushHLDevereuxRBRosengartTK. Recurrent systemic embolization caused by aortic thrombi. Ann Thorac Surg1994; 57: 466–8.
4.
LapercheTSarkisAMoninJThe ligamentum arteriosum: An unreported origin of peripheral emboli diagnosed by transesophageal echocardiography. Am Heart J1992; 124: 222–3.
5.
SadonyVWalzMLöhrERimpelJRichterHJ. Unusual cause of recurrent arterial embolism: Floating thrombus in the aortic arch surgically removed under hypothermic cardiocirculatory arrest. Eur J Cardiothorac Surg1988; 2: 469–71.