Farah M G, Hawawini H
Department of Medicine, Case Western Reserve University, Cleveland.
Chest. 1993 Nov;104(5):1604-5. doi: 10.1378/chest.104.5.1604.
A 74-year-old woman presented with a stroke. Transesophageal echocardiography showed evidence of a thrombus attached to the wall of the ascending aorta that was not detected by the transthoracic approach. The thrombus was no longer present after treatment with heparin with no recurrent embolic event. To our knowledge, this is the first report of a thrombus attached to the ascending aorta that was no longer present after treatment with heparin, was detected by transesophageal echocardiography, and was thought to be the source of cerebral embolic event.
一名74岁女性因中风就诊。经食管超声心动图显示升主动脉壁附着有血栓，而经胸超声心动图未检测到。使用肝素治疗后血栓消失，且未发生复发性栓塞事件。据我们所知，这是首例关于附着于升主动脉的血栓在肝素治疗后消失、经食管超声心动图检测到且被认为是脑栓塞事件来源的报告。
