Floating thrombus involving the aortic arch in a woman

What is already knownAortic mural thrombus is rare but potentially life-threatening.After a challenging diagnosis, young patients are usually treated with surgery, reserving medical therapy alone for the elderly or those at high surgical risk. What is new in the current studyEarly reevaluation after starting anticoagulant therapy is very useful.A less invasive approach can be considered initially, as in patients at high embolic risk. 97