We describe the case of a 63-year-old man who suffered concomitant cerebral, mesenteric, and renal infarctions. Idiopathic dilated myocardiopathy without intracardiac masses was diagnosed by transthoracic echocardiography. A cross-sectional view of the innominate artery from the jugular fossa notch position revealed a threatening thrombus in the proximal region of the aortic arch.
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