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Eur J Cardiothorac Surg 2001;20:880-882
© 2001 Elsevier Science NL

Case report

Resolution of an aortic thrombus under anticoagulant therapy

^a Second Medical Department, Krankenanstalt Rudolfstiftung, Vienna, Austria
^b Radiological Department, Krankenanstalt Rudolfstiftung, Vienna, Austria
^c Second Neurological Department, Neurological Hospital Rosenhügel, Vienna, Austria

Received 25 June 2001; received in revised form 6 July 2001; accepted 8 July 2001.

Corresponding author. Steingasse 31/18, A-1030 Vienna, Austria. Tel./fax: +43-1-713-9870
e-mail: claudia.stoellberger{at}chello.at

In a 50-year-old woman, admitted because of a renal infarction, a 10-cm long floating, highly mobile thrombus with a diameter of 15–20 mm in the descending aorta was detected by transoesophageal echocardiography and magnetic resonance imaging. She was a poor surgical candidate due to obstructive lung disease and obesity. Under intravenous heparinization with prothrombin time test values between 80 and 100 s, followed by oral anticoagulation with international normalized ratio values between 3.0 and 4.0, the thrombus resolved after 10 weeks and no recurrence occurred over the next 30 months.

Key Words: Aorta • Thrombus • Transesophageal echocardiography • Cardiac magnetic resonance imaging

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