Atheromatosis of the Aortic Arch as an Occult Source of Multiple Systemic Emboli
Authors: Paul A. Tunick, Alfred T. Culliford, Patrick J. Lamparello, Itzhak Kronzon
Journal: Annals of Internal Medicine (1991)

Brief Reports1 March 1991Atheromatosis of the Aortic Arch as an Occult Source of Multiple Systemic EmboliPaul A. Tunick, MD, Alfred T. Culliford, MD, Patrick J. Lamparello, MD, Itzhak Kronzon, MDPaul A. Tunick, MD, Alfred T. Culliford, MD, Patrick J. Lamparello, MD, Itzhak Kronzon, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-114-5-391 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAtheroemboli may occur after catheter or surgical manipulation of the abdominal aorta, causing arterial obstruction (1). They may also occur during cardiac catheterization (2). Our laboratory previously reported three patients with embolization in whom a new finding, protruding masses with mobile components in the aortic arch and descending aorta, was seen during transesophageal echocardiography (3). We have subsequently found protruding plaques in another 29 patients. One of these patients had surgical exploration of the aortic arch because of four emboli during a 2-month period. The existence and location of the protruding plaque in this patient would not have been known...References1. Braunwald E, ed. Heart Disease: A Textbook of Cardiovascular Medicine. Philadelphia: W.B. Saunders; 1988:1571. 1835. Google Scholar2. RamirezO'NeillLambertBloomer GWRH. Cholesterol embolization: a complication of angiography. Arch Intern Med. 1978; 138:1430-2. CrossrefMedlineGoogle Scholar3. TunickKronzon PI. Protruding atherosclerotic plaque in the aortic arch of patients with systemic embolization: a new finding seen by transesophageal echocardiography. Am Heart J. 1990;120:658-60. CrossrefMedlineGoogle Scholar4. WolfKannelSorlieMcNamara PWPP. Asymptomatic carotid bruit and the risk of stroke. The Framingham Study. JAMA. 1981;245:1442-5. CrossrefMedlineGoogle Scholar5. GreenlandKnopmanMikellAsingerAndersonGood PDFRDD. Echocardiography in diagnostic assessment of stroke. Ann Intern Med. 1981;95:51-3. LinkGoogle Scholar6. PopSutherlandKoudstaalSitde JongRodandt GGPTGJ. Transesophageal echocardiography in the detection of intracardiac embolic sources in patients with transient ischemic attacks. Stroke. 1990;21:560-5. CrossrefMedlineGoogle Scholar7. Moldveen-GeronimusMerriam MJ. Cholesterol embolization. From pathologic curiosity to clinical entity. Circulation. 1967;35:946-53. CrossrefMedlineGoogle Scholar8. CullifordColvinRohrerBaumannSpencer ASKFF. The atherosclerotic ascending aorta and transverse arch: a new technique to prevent cerebral injury during bypass. Experience with 13 patients. Ann Thorac Surg. 1986;41:27-35. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: From the New York University Medical Center, New York, New York. For current author addresses, see end of text. 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Hersch, MDTransesophageal echocardiography: Procedures and clinical applicationProtruding Atheromas in the Thoracic Aorta and Systemic EmbolizationPaul A. Tunick, MD, John L. Perez, BA, Itzhak Kronzon, MD 1 March 1991Volume 114, Issue 5Page: 391-392KeywordsAortaCatheterizationCathetersEchocardiographyResearch laboratories Issue Published: 1 March 1991 PDF downloadLoading ...