case_images: PMC6668537_01
case_images: MRI of the brain without contrast showing small foci of diffusion restriction involving the right frontal lobe and left cerebellar hemisphere consistent with areas of acute infarctions. Abbreviation. MRI: magnetic resonance imaging.
case_images: CRINM2019-8647126.001.jpg
case_images: PMC6668537_01_CRINM2019-8647126.001.jpg
case_images: fig1
case_images: Magnetic resonance imaging (MRI) of the brain showed acute infarctions in the right frontal lobe and left cerebellar hemisphere, as shown in Figure 1.
case_images: TEE demonstrating an echogenic density in the aortic arch, consistent with thrombus. Abbreviation. TEE: transesophageal echocardiogram.
case_images: CRINM2019-8647126.002.jpg
case_images: PMC6668537_01_CRINM2019-8647126.002.jpg
case_images: fig2
case_images: Transesophageal echocardiography (TEE) showed 0.9 X 0.7 cm echogenic density in the aortic arch, as shown in Figure 2.
case_images: CT Angiogram of head and neck showing a 1.3 cm filling defect in the proximal aortic arch abutting the lateral wall of the aortic arch, consistent with thrombus. Abbreviation. CT: computed tomography.
case_images: CRINM2019-8647126.003.jpg
case_images: PMC6668537_01_CRINM2019-8647126.003.jpg
case_images: fig3
case_images: Computed tomography (CT) angiogram did not show any evidence of atherosclerotic disease but showed a 1.3 cm filling defect in the aortic arch, consistent with thrombus as shown in Figure 3.
case_images: Follow-up TEE performed four months later demonstrating that prior echogenic mass in the aortic arch had decreased in size. Abbreviation. TEE: transesophageal echocardiogram.
case_images: CRINM2019-8647126.004.jpg
case_images: PMC6668537_01_CRINM2019-8647126.004.jpg
case_images: fig4
case_images: Repeat TEE at four months showed that the prior echogenic mass in the aortic arch had decreased in size, as shown in Figure 4.