HISTOLOGICALLY CONFIRMED CHOLESTEROL ATHEROEMBOLI WITH IDENTIFICATION OF THE SOURCE BY TRANSESOPHAGEAL ECHOCARDIOGRAPHY

被引：19

作者：

KOPPANG, JR ^{[1
]}

NANDA, NC ^{[1
]}

COGHLAN, HC ^{[1
]}

SANYAL, R ^{[1
]}

机构：

[1] UNIV ALABAMA,DIV CARDIOVASC DIS,HEART STN SWB S102,BIRMINGHAM,AL 35233

来源：

ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES | 1992年 / 9卷 / 04期

关键词：

TRANSESOPHAGEAL ECHOCARDIOGRAPHY; ATHEROSCLEROTIC PLAQUES; CHOLESTEROL EMBOLI; EMBOLISM;

D O I：

10.1111/j.1540-8175.1992.tb00481.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cholesterol embolization may occur after catheter manipulation of the descending aorta in patients with diffuse atherosclerosis. A clinical diagnosis of cholesterol embolism after manipulation of the descending aorta is suspected by the presence of systemic atheroemboli. Transesophageal echocardiography (TEE) is an excellent technique for detecting atheromatous plaques of the aorta. TEE is becoming more commonly used in the work-up of cerebrovascular events but we suggest its scope should be broadened to include patients with suspected intra-aortic atherosclerotic disease prior to cardiac catheterization. The findings at TEE would help alert the clinician to use extreme caution if an invasive aortic procedure was felt to be essential. Our patient illustrates the constellation of clinical findings in atheroembolic disease that occurred after cardiac catheterization with biopsy confirmation of cholesterol emboli. TEE revealed several large protruding atheromatous plaques of the descending aorta that were most probably responsible for the systemic manifestations of renal insufficiency and digital infarctions.

引用

页码：379 / 383

页数：5

共 13 条

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