Utility of four-dimensional computed tomography angiography for evaluating the mobility of a thrombus in the ascending aorta

Daisuke Asahara, MD; Toshiki Kuno, MD, PhD; Kiyoshi Koizumi, MD; Takahito Itoh, MD; Yohei Numasawa, MD, PhD; Masaki Kodaira, MD, PhD; Kazuo Isozumi, MD, PhD; Satoru Komatsumoto, MD, PhD

Radiology Case Reports (Mar 2020)

Utility of four-dimensional computed tomography angiography for evaluating the mobility of a thrombus in the ascending aorta

Daisuke Asahara, MD,
Toshiki Kuno, MD, PhD,
Kiyoshi Koizumi, MD,
Takahito Itoh, MD,
Yohei Numasawa, MD, PhD,
Masaki Kodaira, MD, PhD,
Kazuo Isozumi, MD, PhD,
Satoru Komatsumoto, MD, PhD

Affiliations

Daisuke Asahara, MD: Department of Neurology, Japanese Red Cross Ashikaga Hospital, Ashikaga, Japan
Toshiki Kuno, MD, PhD: Department of Cardiology, Japanese Red Cross Ashikaga Hospital, Ashikaga, Japan; Department of Medicine, Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel, NY, USA; Corresponding author.
Kiyoshi Koizumi, MD: Department of Cardiovascular Surgery, Japanese Red Cross Ashikaga Hospital, Ashikaga, Japan
Takahito Itoh, MD: Department of Cardiovascular Surgery, Japanese Red Cross Ashikaga Hospital, Ashikaga, Japan
Yohei Numasawa, MD, PhD: Department of Cardiology, Japanese Red Cross Ashikaga Hospital, Ashikaga, Japan
Masaki Kodaira, MD, PhD: Department of Cardiology, Japanese Red Cross Ashikaga Hospital, Ashikaga, Japan
Kazuo Isozumi, MD, PhD: Department of Neurology, Japanese Red Cross Ashikaga Hospital, Ashikaga, Japan
Satoru Komatsumoto, MD, PhD: Department of Neurology, Japanese Red Cross Ashikaga Hospital, Ashikaga, Japan

Journal volume & issue: Vol. 15, no. 3
pp. 246 – 249

Abstract

Read online

Four-dimensional computed tomography has been used to evaluate moving structures and is a useful method to diagnose cardiovascular diseases. We report a case of cerebral infarction due to the thrombus in the ascending aorta, and utilized 4-dimensional computed tomography angiography for visualizing the movement of the thrombus, which prompted early surgical intervention to prevent further thromboembolism. Although transesophageal echocardiography is an established method to evaluate the ascending aorta, it has some contraindications and complications. Four-dimensional computed tomography angiography is an excellent alternative without blind spots to evaluate the ascending aorta more quickly than transesophageal echocardiography. Keywords: Four-dimensional computed tomography, Thrombus in the ascending aorta

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

About the journal