Cardiovascular research institute, Isfahan University of Medical Sciences ARYA Atherosclerosis Journal 1735-3955 13 4 2017 07 22 Mobile mass in the aortic arch: A case report 193 195 10592 EN Fatemeh Ghani-Dehkordi Department of Operating Room, School of Paramedical Sciences, Bushehr University of Medical Sciences, Bushehr, Iran Rostam Esfandiyari-Bakhtiyari Assistant Professor, Department of Cardiac Surgery, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran Firoozeh Alirezae-Shahraki Nurse, Chamran Hospital, Ministry of Defence, Tehran, Iran Journal Article 2016 05 07 BACKGROUND: The finding of a floating mass in the aortic arch is rare and the management remains controversial. CASE Rrport: We describe a 42-year-old woman with an embolic infarction in whom transesophageal echocardiography revealed a mobile mass in the aortic arch that was characterized as atherothrombi with an evidence of embolic infarction in the territory of the middle cerebral artery. Treatment with antiplatelet and anticoagulants failed to resolve the mass and is was surgically resected. CONCLUSION: In conclusion, the presence of mobile aortic mass seems to carry a high embolic risk. The optimal treatment for mobile aortic arch atherothrombi remains to be elucidated.  https://arya.mui.ac.ir/article_10592_f6c2a0c4b566bc99d596e58638e342b0.pdf