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The authors report the case of a 32 year old woman with no risk factors for thromboembolism apart from a raised Lipoprotein (a) level, in whom a mobile thrombus of the ascending aorta was diagnosed only by transoesophageal echocardiography after multiple episodes of systemic embolism. After surgical excision the thrombus recurred and death ensued on the 17th postoperative day after multiple visceral embolism despite adequate anticoagulant therapy. This is a rare condition, the outcome of which seems often to be fatal, due to early recurrence irrespective of the treatment (anticoagulant or platelet antiaggregant therapy). This case illustrates the value of systematic transoesophageal echocardiography for the investigation of cerebral or peripheral ischaemic episodes without carotid artery disease and raises the problem of the best way of treating this pathology.
H Soyer, and
J M Laudinat, and
C Lemaître, and
J L Pommier, and
G Delepine, and
A Poncet, and
B Baehrel, and
A Bajolet
February 1998,
Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography,
H Soyer, and
J M Laudinat, and
C Lemaître, and
J L Pommier, and
G Delepine, and
A Poncet, and
B Baehrel, and
A Bajolet
October 1999,
The Journal of cardiovascular surgery,
H Soyer, and
J M Laudinat, and
C Lemaître, and
J L Pommier, and
G Delepine, and
A Poncet, and
B Baehrel, and
A Bajolet
March 2003,
Masui. The Japanese journal of anesthesiology,
H Soyer, and
J M Laudinat, and
C Lemaître, and
J L Pommier, and
G Delepine, and
A Poncet, and
B Baehrel, and
A Bajolet
June 1997,
The Annals of thoracic surgery,
H Soyer, and
J M Laudinat, and
C Lemaître, and
J L Pommier, and
G Delepine, and
A Poncet, and
B Baehrel, and
A Bajolet
December 1992,
Zhonghua xin xue guan bing za zhi,
H Soyer, and
J M Laudinat, and
C Lemaître, and
J L Pommier, and
G Delepine, and
A Poncet, and
B Baehrel, and
A Bajolet
March 2020,
Annals of vascular diseases,
H Soyer, and
J M Laudinat, and
C Lemaître, and
J L Pommier, and
G Delepine, and
A Poncet, and
B Baehrel, and
A Bajolet
August 2009,
Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography,
H Soyer, and
J M Laudinat, and
C Lemaître, and
J L Pommier, and
G Delepine, and
A Poncet, and
B Baehrel, and
A Bajolet
November 2013,
Echocardiography (Mount Kisco, N.Y.),
H Soyer, and
J M Laudinat, and
C Lemaître, and
J L Pommier, and
G Delepine, and
A Poncet, and
B Baehrel, and
A Bajolet
February 1994,
Annals of emergency medicine,
H Soyer, and
J M Laudinat, and
C Lemaître, and
J L Pommier, and
G Delepine, and
A Poncet, and
B Baehrel, and
A Bajolet
March 1999,
The American journal of emergency medicine,
