Acute Coronary and Cerebral Emboli From a Pedunculated Ascending Aorta Thrombus

Mitsuhiko Shoda; Hiroyuki Yamamoto; Motoharu Kawashima; Takeshi Kondo; Hirohisa Murakami; Hiroya Kawai; Tomofumi Takaya

doi:10.1016/j.jaccas.2021.04.031

Acute Coronary and Cerebral Emboli From a Pedunculated Ascending Aorta Thrombus

JACC Case Rep. 2021 Aug 4;3(9):1194-1199. doi: 10.1016/j.jaccas.2021.04.031.

Authors

Mitsuhiko Shoda¹, Hiroyuki Yamamoto¹, Motoharu Kawashima², Takeshi Kondo³, Hirohisa Murakami², Hiroya Kawai^{1

4}, Tomofumi Takaya^{1

4}

Affiliations

¹ Division of Cardiovascular Medicine, Hyogo Brain and Heart Center, Himeji, Japan.
² Division of Cardiovascular Surgery, Hyogo Brain and Heart Center, Himeji, Japan.
³ Division of Legal Medicine, Department of Community Medicine and Social Healthcare Science, Kobe University Graduate School of Medicine, Kobe, Japan.
⁴ Division of Cardiovascular Medicine, Department of Exploratory and Advanced Search in Cardiology, Kobe University Graduate School of Medicine, Kobe, Japan.

Abstract

Hyperprolactinemia is a risk factor for thrombus formation. We present a rare case of a mobile ascending aorta thrombus leading to acute myocardial infarction and cerebral infarction in a patient with idiopathic hyperprolactinemia. (Level of Difficulty: Beginner.).

Keywords: AMI, acute myocardial infarction; CAE, coronary artery embolism; LAD, left anterior descending artery; TEE, transesophageal echocardiography; acute myocardial infarction; coronary artery embolism; hyperprolactinemia; mobile ascending aorta thrombus; systemic embolization.

Publication types

Case Reports