CTICasesMassive non-occlusive thrombus lining native aorta
Imaging findings
CT scan shows extensive, thick laminar thrombus lining the entire native ascending aorta, aortic arch, and abdominal aorta, accompanied by a right atrial appendage thrombus, prior left ventricular infarct, and pulmonary emboli with right lower lobe infarction.
Key takeaways
Massive, non-occlusive native aortic thrombus is a rare and dangerous source of systemic emboli. It is often associated with hypercoagulable states or severe cardiovascular disease, and can extend from the ascending aorta down into the abdominal aorta.
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