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Treatment of multiple cerebral emboli from an ulcerated, thrombogenic ascending aorta with aortectomy and graft replacement

From the Department of Neurology, Maine Medical Center (Dr. Belden), New England Medical Center (Dr. Caplan), Division of Cardiothoracic Surgery, New England Medical Center (Drs. Bojar and Payne), and South Shore Neurology Associates (Dr. Blachman).

Address correspondence and reprint requests to Dr. John R. Belden, Maine Neurology, P.A., 180 Park Avenue, Portland, ME 04102.

Multiple studies link aortic arch atheroma as a donor site for cerebral emboli. However, treatment of this condition remains controversial. We report a patient with recurrent brain emboli from an ulcerated, thrombogenic aorta treated with aortectomy and graft replacement.

Received October 14, 1996. Accepted in final form January 13, 1997.

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