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Kim, M.D., M.D., M.D., M.D., M.D., M.D., and M.D.: Recurrent Systemic Embolization Caused by Aortic Thrombus in Antiphospholipid Antibody Syndrome: A Case Report
Original Article

J Korean Soc Echocardiogr 1995;3(1):23-26.

Published online: 18 February 1995

DOI: https://doi.org/10.3803/jkes.1995.3.1.23

Recurrent Systemic Embolization Caused by Aortic Thrombus in Antiphospholipid Antibody Syndrome: A Case Report

Yong-Jin Kim, M.D., Woo-Young Jung M.D., Jin-Ho Choi M.D., Duk-Hyun Kang M.D.∗, Jae-Kwan Song M.D.∗, Dae-Won Sohn M.D., Jung-Don Seo M.D., Young-Woo Lee M.D.

Department of Internal Medicine, Seoul National University, College of Medicine, Seoul, Korea

∗Department of Internal Medicine, Asan Medical Center, University of Ulsan, Seoul, Korea

Copyright © 1995 Korean Society of Echocardiography

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Antiphospholipid antibody syndrome is characterized by recurrent fetal loss, neurologic dysfunction. arterial and venous thrombosis, and systemic and pulmonary hypertension associated with antiphospholipid antibodies. We observed a large visible thrombus in the descending aorta leading to multiple systemic embolism in a patient with antiphospholipid antibody without other risk factors for thrombosis. We assume that this thrombus is associated with antiphospholipid antibody syndrome.

Keywords: Antiphospholipid Antibody Syndrome, Aortic thrombus, Systemic embolization.

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Fig. 1.
Transesophageal echocardiography shows large mobile mass in descending aorta. A) horizontal view B) longitudinal view Th: thrombus
jkse-3-23f1.tif
Fig. 2.
A) Multiple filling defect in left kidney suggesting renal infarction. B) CT angiography shows large pendulous mass in descending aorta.
jkse-3-23f2.tif
Fig. 3.
Follow-up transesophageal echocardiography' shows apparently decreased mass size.
jkse-3-23f3.tif
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