Images in Cardiothoracic Medicine and Surgery
Diffuse mural thrombus in a patient with thoracic aortic aneurysm
Asian Cardiovascular & Thoracic Annals 21(4) 490 ß The Author(s) 2012 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492312457925 aan.sagepub.com
Sait Demirkol1, Sevket Balta1 and Ugur Bozlar2
Figure 1. (a) Echocardiography revealing aneurysmal dilatation and mural thrombus in the descending aorta. (b) Two-dimensional transesophageal echocardiography showing dense spontaneous echo contrast and mural thrombus. (c) Three-dimensional transesophageal echocardiography displaying dense spontaneous echo contrast in the descending aorta. (d) Sagittal computed tomography of the thoracic aorta showing diffuse mural thrombus and aneurysmal dilatation. (e) Axial computed tomography revealing the mural thrombus. (g) Volume-rendered computed tomography demonstrating aneurysmal dilatation of the thoracic aorta.
An 85-year-old woman with hypertension and diabetes mellitus was admitted for routine evaluation. Physical examination was unremarkable. Electrocardiography showed normal sinus rhythm. Laboratory parameters including coagulation factors were normal. Twodimensional transthoracic echocardiography in suprasternal view revealed aneurysmal dilatation and a mural thrombus in the descending aorta (Figure 1(a)). Twodimensional transesophageal echocardiography in long-axis aortic view also showed dense spontaneous echo contrast and mural thrombus (Figure 1(b)). Three-dimensional transesophageal echocardiography displayed dense spontaneous echo contrast in the descending aorta (Figure 1(c)). Sagittal computed tomography of the thoracic aorta showed the mural thrombus and aneurysmal dilatation (Figure 1(d)). Axial computed tomography of the thoracic descending aorta also revealed diffuse mural thrombus (Figure 1(e)). Volume-rendered computed tomography demonstrated aneurysmal dilatation of the thoracic aorta (Figure 1(f)). The patient was treated medically
because of her advanced age and comorbidities. The combination of imaging modalities may provide clear incremental value in the diagnosis of patients with mural thrombus. Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Conflicts of interest statement None declared.
1 Department of Cardiology, Gulhane School of Medicine, Gulhane Military Medical Academy, Ankara, Turkey 2 Department of Radiology, Gulhane School of Medicine, Gulhane Military Medical Academy, Ankara, Turkey
Corresponding author: Sevket Balta, Department of Cardiology, Gulhane School of Medicine, Tevfik Saglam St., 06018 Etlik-Ankara, Turkey. Email: [email protected]
Downloaded from aan.sagepub.com at FLORIDA INTERNATIONAL UNIV on July 9, 2015
Diffuse mural thrombus in a patient with thoracic aortic aneurysm
Asian Cardiovascular & Thoracic Annals 21(4) 490 ß The Author(s) 2012 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492312457925 aan.sagepub.com
Sait Demirkol1, Sevket Balta1 and Ugur Bozlar2
Figure 1. (a) Echocardiography revealing aneurysmal dilatation and mural thrombus in the descending aorta. (b) Two-dimensional transesophageal echocardiography showing dense spontaneous echo contrast and mural thrombus. (c) Three-dimensional transesophageal echocardiography displaying dense spontaneous echo contrast in the descending aorta. (d) Sagittal computed tomography of the thoracic aorta showing diffuse mural thrombus and aneurysmal dilatation. (e) Axial computed tomography revealing the mural thrombus. (g) Volume-rendered computed tomography demonstrating aneurysmal dilatation of the thoracic aorta.
An 85-year-old woman with hypertension and diabetes mellitus was admitted for routine evaluation. Physical examination was unremarkable. Electrocardiography showed normal sinus rhythm. Laboratory parameters including coagulation factors were normal. Twodimensional transthoracic echocardiography in suprasternal view revealed aneurysmal dilatation and a mural thrombus in the descending aorta (Figure 1(a)). Twodimensional transesophageal echocardiography in long-axis aortic view also showed dense spontaneous echo contrast and mural thrombus (Figure 1(b)). Three-dimensional transesophageal echocardiography displayed dense spontaneous echo contrast in the descending aorta (Figure 1(c)). Sagittal computed tomography of the thoracic aorta showed the mural thrombus and aneurysmal dilatation (Figure 1(d)). Axial computed tomography of the thoracic descending aorta also revealed diffuse mural thrombus (Figure 1(e)). Volume-rendered computed tomography demonstrated aneurysmal dilatation of the thoracic aorta (Figure 1(f)). The patient was treated medically
because of her advanced age and comorbidities. The combination of imaging modalities may provide clear incremental value in the diagnosis of patients with mural thrombus. Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Conflicts of interest statement None declared.
1 Department of Cardiology, Gulhane School of Medicine, Gulhane Military Medical Academy, Ankara, Turkey 2 Department of Radiology, Gulhane School of Medicine, Gulhane Military Medical Academy, Ankara, Turkey
Corresponding author: Sevket Balta, Department of Cardiology, Gulhane School of Medicine, Tevfik Saglam St., 06018 Etlik-Ankara, Turkey. Email: [email protected]
Downloaded from aan.sagepub.com at FLORIDA INTERNATIONAL UNIV on July 9, 2015
![[Mural thrombus and thoracic aortic aneurysm: An unusual association].](/assets/img/hold.png)
