CTICasesMobile Aortic Arch Thrombus
Imaging findings
CT angiogram demonstrates a large, mobile thrombus adhering to the aortic arch and descending aorta, associated with visceral emboli to the splenic artery.
Key takeaways
Mobile thrombi in the aortic arch can lead to recurrent systemic embolization to the brain, spleen, kidneys, and extremities. Anticoagulation is the primary therapy, with surgical thrombectomy reserved for refractory cases.
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