|
| Case reports | Demo-
graphics | Past Medical History | Location of stroke | Aortic Imaging | Labs | Anemia Workup | Treatment Given | Outcome |
|
| Yakushiji et al (2005)[4] | 50-year-old woman | Occasional hematochezia for 2 months before the admission
Anorexia since the age of 17 years | Left
MCA M1 | TEE: mobile mass (18 x 8 mm) in the aortic arch
No atherosclerotic changes on TEE | Hb (g/dl): 5.5 (12-16.5) MCV (microm3): 62 (85-100) Platelet (x1000 microl): 420 (150-350) Iron(microl/dl): 16 (43-172) Ferritin (microl/dl): 21 (0-429) Protein S activity (%): 36 (65-105) Reticulocytes (%): 10 (5-20) | Internal hemorrhoids | Blood transfusion
Heparin drip | On day 19 TEE & Cardiac MRI showed resolution of aortic arch clot
Switched to ASA from warfarin at 1 year
On 2-year follow-up, there was no recurrence of IDA or stroke |
|
| Yakushiji et al (2005)[4] | 41-year-old woman | Epimenorrhagia since the age of 20 years. | Left ACA, Left MCA, Bilateral Cerebellum | TEE: mobile mass (5 x 10 mm) in the aortic arch.
No atherosclerotic changes on TEE | Hb (g/dl): 7.9 (12-16.5) MCV (microm3): 61 (85-100) Platelet (x1000 microl): 360 (150-350) Iron (microl/dl): 9 (43-172) Ferritin (microl/dl): 2 (0-429)
Protein S activity (%): 54 (65-105) Reticulocytes (%): 23 (5-20) | Adenomyosis uteri. | Heparin drip | On day 7 TEE & Cardiac MRI showed resolution of aortic arch clot
On 6-month follow-up, there was no recurrence of IDA or stroke
Switched to ASA from warfarin at 1 year |
|
| Bukharovich et al (2012)[2] | 49-year-old Caucasian woman | Menorrhagia | Right sided multiple infarcts | TEE: mobile mass (10 x 6 mm) in the aortic arch.
No atherosclerotic changes on TEE | Hb (g/dl): 8.4 (12-16.5) MCV (microm3): 68 (85-100) Platelet (x1000 microl): 567 (150-350) Iron(microl/dl): 20 (43-172) Ferritin (microl/dl): 15 (0-429) | No GI source
Negative gynecological evaluation | Heparin drip
Oral Iron | Discharged after 10 days on Warfarin |
|
| Ishii et al (2017) [3] | 41-year-old woman | Affective Disorder | Left M 2 | TEE: mobile mass (10 x 6 mm) in the aortic arch.
No atherosclerotic changes on TEE | Hb (g/dl): 7.5 (12-16.5) | Whole-body MRI: Uterine fibroids and endometrial cysts | Total arch replacement | |
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