Digital Embolization From Plaque-Related Thrombus in the Thoracic Aorta: Identification With Transesophageal Echocardiography and Resolution With Warfarin.

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Presentation transcript:

Digital Embolization From Plaque-Related Thrombus in the Thoracic Aorta: Identification With Transesophageal Echocardiography and Resolution With Warfarin Therapy JOSEPH L. BLACKSHEAR, M.D., ARSHAD JAHANGIR, M.D., W. ANDREW OLDENBURG, M.D., ROBERT E. SAFFORD, M.D., Ph.D. Mayo Clinic Proceedings Volume 68, Issue 3, Pages 268-272 (March 1993) DOI: 10.1016/S0025-6196(12)60048-2 Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 Photographs of digital embolization in 71-year-old man. A, Lateral surface of patient's left foot photographed on third hospital day. B, Dorsal surface of left toes photographed on third hospital day. C, Dorsal surface of left toes photographed 3 months and 2 days after initiation of anticoagulant therapy. Mayo Clinic Proceedings 1993 68, 268-272DOI: (10.1016/S0025-6196(12)60048-2) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 Transesophageal echocardiograms. A, Long-axis view at 26 cm from incisors. Large bilobed mass, suggesting thrombus (white arrow) affixed to area of thickened aortic wall indicative of atherosclerotic plaque (black arrows) in proximal descending thoracic aorta. White dots indicate a distance of 10 mm. B, Short-axis view of mass, suggesting thrombus (arrow) attached to descending thoracic aorta. Area of thickened wall suggests plaque (two small arrowheads). Mayo Clinic Proceedings 1993 68, 268-272DOI: (10.1016/S0025-6196(12)60048-2) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 3 Follow-up transesophageal echocardiograms. A, Long-axis view 3 months and 2 days after initiation of anticoagulant therapy in same region of proximal descending thoracic aorta. Thickening of wall suggests atherosclerotic plaque remains. Small protruding remnant of mass persists (arrow). B, Short-axis view of same region and plaque in proximal descending thoracic aorta 3 months and 2 days after initiation of anticoagulant therapy. Area of thickened aortic wall suggests atherosclerotic plaque (arrow). Mass was not evident. Mayo Clinic Proceedings 1993 68, 268-272DOI: (10.1016/S0025-6196(12)60048-2) Copyright © 1993 Mayo Foundation for Medical Education and Research Terms and Conditions