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- N Christou, I Gourgiotis, K Dakis, and C Liasidis.
- Department of Neurology, Ippokratio General Hospital of Thessaloniki, Greece.
- Hippokratia. 2021 Oct 1; 25 (4): 172174172-174.
BackgroundA floating thrombus in the ascending aorta is a rare finding that may cause multiple ischemic strokes with catastrophic consequences. The treatment algorithm for such lesions is yet to be defined.Case ReportWe report the case of a 50-year-old patient with multiple cerebral ischemic strokes due to a sizeable floating thrombus (25 x 15 x 13 mm) in the ascending aorta. Conservative management utilizing anticoagulants was chosen due to the patient's high estimated perioperative risk.ConclusionAn anticoagulation treatment strategy may be feasible, safe, and effective in patients with large mobile thrombus in the aorta who are not eligible for thrombectomy. HIPPOKRATIA 2021, 25 (3):172-174.Copyright 2021, Hippokratio General Hospital of Thessaloniki.
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