Int J Angiol 2001; 10(2): 149-152
DOI: 10.1007/BF01616423
Original Articles

© Georg Thieme Verlag KG Stuttgart · New York

Mobile aortic arch thrombus: Conservative management with ticlopidine?

Philippe Dubois1 , Patrick Gurnet1 , Dariouch Dolatabadi1 , Guy Verhelst2 , Eric Vandueren2 , Eric Dubois2 , Guy Bruninx2 , Christian Delcour2 , Jean-Claude Wautrecht3
  • 1Cardiology Department, CHU de Charleroi, Boulevard Paul Janson, Charleroi, Belgium
  • 2Vascular Unit, CHU de Charleroi, Charleroi, Belgium
  • 3Department of Vascular Diseases, Erasme University Hospital-Brussels, Free University of Brussels, Brussels, Belgium
Further Information

Publication History

Publication Date:
24 April 2011 (online)

Abstract

Diffuse aortic atherosclerotic disease (AAD) is now well recognized as a potential source of cerebral and peripheral emboli. Its clinical importance has been demonstrated in patients over 60. We focus on an unusual presentation of AAD in younger patients free from significant diffuse aortic atherosclerosis, where the outstanding lesion was a large and highly mobile thrombus. Two cases of mobile aortic thrombi, which were conservatively managed with ticlopidine, a potent antiplatelet agent, are reported. Our two cases suggest a possible place of antiplatelet therapy with thienopyridine in the management of isolated large mobile aortic thrombus.

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