An Ischemic Stroke Revealing an Aneurysmal Dilation of the Ascending Aorta and Atheromatous Ectasia of the Descending Thoracic Aorta
D. Bennani, A. El Bouazizi, L. Afendi, F. Essadqi, M. HABOUB, A. DRIGHIL, K. Gourram, Y. Sakhy, H. Tabakh, A. Siwane, N. Touil, O. Kacimi
Asian Journal of Cardiology Research · pp. 127–131 · Published 11 Apr 2026
10.9734/ajcr/2026/v9i1361Abstract
We report the case of an acute embolic-appearing ischemic stroke that led to the diagnosis of a complex aortic pathology combining an ascending aortic aneurysm, defined as a permanent pathological dilation of the proximal aorta conferring a major risk of dissection or rupture, and an atheromatous ectasia of the descending thoracic aorta, characterized by the accumulation of fibrolipidic deposits within the aortic wall and constituting a potential embolic source, as illustrated in the present case. Identification of this atypical emboligenic substrate prompted a multidisciplinary management strategy.
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