Two consecutive fatal cases of acute myocardial infarction caused by free floating thrombus in the ascending aorta and review of literature

Acute pulmonary embolism after cerebral infarction associated with a mobile thrombus in the ascending aorta

“…5,8 The most frequent cause of a fl oating mass in the ascending aorta is atherosclerotic debris located on atherosclerotic plaques. However, a mobile thrombus with no evidence of atherosclerosis is rare.…”

Contrast-enhanced computed tomographic and echocardiographic detection of intra-aortic floating thrombus causing acute myocardial infarction

“…[2][3][4] Cardiac CT may aid in the diagnosis of suspected aortic disease as a cause of acute myocardial infarction. …”

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“…For that reason, adjunct imaging may be warranted. A review of the literature by Knoess stresses that TEE was used as the definitive diagnostic test in most reported cases of mobile thrombus although many were preceded by CT angiography 5 …”