Conclusions
PFEs of the aortic wall are exceptionally rare and can be found
accidentally or show symptoms of cerebral or cardiac ischemia. The
diagnosis is particularly difficult mainly due to the lack of experience
of the operators. TTE/TEE is the method of choice for their diagnosis
while CT scan or MRI can be helpful in the diagnostic doubt. Surgical
resection, where possible, is mandatory due to the risk of embolism and
is generally low risk surgery. Our case highlights how clinical
suspicion should be placed even when the mass is in such atypical
positions.