Author/Editor		Ružič-Medvešček, Nada; Klančar, Nada; Berden, Pavel; Pirc, Borut; Geršak, Borut; Gabrijelčič, Tone; Dolenc-Stražar, Zvezdana
Title		Mase v arkusu aorte - redek vir perifernih embolij
Translated title		Masses in aortic arch - a rare source of peripheral embolisms
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 4. Zbornik 5. mednarodni simpozij o urgentni medicini; 1998 jun 17-20; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		1998
Volume		str. 249-52
Language		slo
Abstract		Atherosclerotic lesions of the aortic arch are potential sources of cerebral and periferal arterial embolism. Recently, mobile thrombi in the aortic arch in young patients without diffuse atherosclerosis have been reported. We describe three patients with eriferal embolic events, manifested with severe ischaemia of limbs, which in two of them, despite repeated thrombectomies, led to partial loss of extremities. In search of possible origin of emboli,large mobile mases were found in aortic arch in all 3 patients by transesophageal echocardiography, confirmed later by some other techniques. The first patient was a young healthy woman a few weeks after childbirth with no obvious underlying disease. In other two patients the underlying diseases were probably wide spread malignancy and colitis ulcerosa in an exacerbated state. The cases illustratesthe crucial role of TEE in the assessment ofpatients with systemic embolizations.
Descriptors		AORTIC ARCH SYNDROMES THROMBOEMBOLISM THROMBECTOMY ECHOCARDIOGRAPHY, TRANSESOPHAGEAL