Abstract
We report a case of a 60-year-old woman who presented clinically with
symptoms of acute embolic stroke. On workup with MRI, carotid Doppler and
subsequent CT angiography, a long pedunculated mobile thrombus was seen with
the base of the thrombus attached to the ascending aorta and the tip
protruding into the left common carotid artery. She was advised urgent
cardiovascular surgery consultation; however, she preferred medical
management over surgery. She was put on dual antiplatelet therapy. On
follow-up after 6 months, there was complete resolution of the
thrombus.