Ghani-Dehkordi Fatemeh, Esfandiyari-Bakhtiyari Rostam, Alirezaee-Shahraki Firoozeh
Department of Operating Room, School of Paramedical Sciences, Bushehr University of Medical Sciences, Bushehr, Iran.
Assistant Professor, Department of Cardiac Surgery, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran.
ARYA Atheroscler. 2017 Jul;13(4):193-195.
The finding of a floating mass in the aortic arch is rare and the management remains controversial.
We describe a 42-year-old woman with an embolic infarction in whom transesophageal echocardiography revealed a mobile mass in the aortic arch that was characterized as atherothrombi with an evidence of embolic infarction in the territory of the middle cerebral artery. Treatment with antiplatelet and anticoagulants failed to resolve the mass and is surgically resected.
In conclusion, the presence of mobile aortic mass seems to carry a high embolic risk. The optimal treatment for mobile aortic arch atherothrombi remains to be elucidated.
在主动脉弓发现漂浮肿块的情况罕见，其治疗方法仍存在争议。
我们描述了一名42岁患有栓塞性梗死的女性，经食管超声心动图显示主动脉弓有一个可移动肿块，其特征为动脉粥样硬化血栓，并有大脑中动脉供血区域栓塞性梗死的证据。使用抗血小板药物和抗凝剂治疗未能消除肿块，遂进行了手术切除。
总之，主动脉可移动肿块似乎具有较高的栓塞风险。主动脉弓动脉粥样硬化血栓的最佳治疗方法仍有待阐明。
