AORTIC PLAQUE IN PATIENTS WITH BRAIN ISCHEMIA - DIAGNOSIS BY TRANSESOPHAGEAL ECHOCARDIOGRAPHY

被引:62
作者
HOROWITZ, DR [1 ]
TUHRIM, S [1 ]
BUDD, J [1 ]
GOLDMAN, ME [1 ]
机构
[1] CUNY MT SINAI SCH MED,DEPT MED CARDIOL,NEW YORK,NY 10029
关键词
D O I
10.1212/WNL.42.8.1602
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We evaluated 183 patients with brain ischemia for an embolic source, using transesophageal echocardiography with extensive imaging of the thoracic aorta. There were mobile, frond-like projections of aortic plaque in seven (4%) patients. The plaque originated on a wide base on the posterior aspect of the ascending aorta at its junction with the transverse arch in six patients, and on the aortic root in one. The acute event was a cerebral infarction in five patients, and a transient ischemic attack in two. This type of aortic plaque could be a previously underdiagnosed source of cerebral embolism that is now easily visualized by transesophageal echocardiography.
引用
收藏
页码:1602 / 1604
页数:3
相关论文
共 11 条
  • [1] THE PREVALENCE OF ULCERATED PLAQUES IN THE AORTIC-ARCH IN PATIENTS WITH STROKE
    AMARENCO, P
    DUYCKAERTS, C
    TZOURIO, C
    HENIN, D
    BOUSSER, MG
    HAUW, JJ
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1992, 326 (04) : 221 - 225
  • [2] TRANSESOPHAGEAL TWO-DIMENSIONAL ECHOCARDIOGRAPHY FOR THE DETECTION OF LEFT ATRIAL APPENDAGE THROMBUS
    ASCHENBERG, W
    SCHLUTER, M
    KREMER, P
    SCHRODER, E
    SIGLOW, V
    BLEIFELD, W
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1986, 7 (01) : 163 - 166
  • [3] STROKE FOLLOWING CORONARY-ARTERY BYPASS-GRAFTING - A 10-YEAR STUDY
    GARDNER, TJ
    HORNEFFER, PJ
    MANOLIO, TA
    PEARSON, TA
    GOTT, VL
    BAUMGARTNER, WA
    BORKON, AM
    WATKINS, L
    REITZ, BA
    [J]. ANNALS OF THORACIC SURGERY, 1985, 40 (06) : 574 - 581
  • [4] INDICATIONS FOR ECHOCARDIOGRAPHY IN PATIENTS WITH ISCHEMIC STROKE
    KNOPMAN, DS
    ANDERSON, DC
    ASINGER, RW
    GREENLAND, P
    MIKELL, F
    GOOD, DC
    [J]. NEUROLOGY, 1982, 32 (09) : 1005 - 1011
  • [5] TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN THE DETECTION OF INTRACARDIAC EMBOLIC SOURCES IN PATIENTS WITH TRANSIENT ISCHEMIC ATTACKS
    POP, G
    SUTHERLAND, GR
    KOUDSTAAL, PJ
    SIT, TW
    DEJONG, G
    ROELANDT, JRTC
    [J]. STROKE, 1990, 21 (04) : 560 - 565
  • [6] TRANS-ESOPHAGEAL ECHOCARDIOGRAPHY - TECHNIQUE, ANATOMIC CORRELATIONS, IMPLEMENTATION, AND CLINICAL-APPLICATIONS
    SEWARD, JB
    KHANDHERIA, BK
    OH, JK
    ABEL, MD
    HUGHES, RW
    EDWARDS, WD
    NICHOLS, BA
    FREEMAN, WK
    TAJIK, AJ
    [J]. MAYO CLINIC PROCEEDINGS, 1988, 63 (07) : 649 - 680
  • [7] ATHEROMATOSIS OF THE AORTIC-ARCH AS AN OCCULT SOURCE OF MULTIPLE SYSTEMIC EMBOLI
    TUNICK, PA
    CULLIFORD, AT
    LAMPARELLO, PJ
    KRONZON, I
    [J]. ANNALS OF INTERNAL MEDICINE, 1991, 114 (05) : 391 - 392
  • [8] PROTRUDING ATHEROSCLEROTIC PLAQUE IN THE AORTIC-ARCH OF PATIENTS WITH SYSTEMIC EMBOLIZATION - A NEW FINDING SEEN BY TRANSESOPHAGEAL ECHOCARDIOGRAPHY
    TUNICK, PA
    KRONZON, I
    [J]. AMERICAN HEART JOURNAL, 1990, 120 (03) : 658 - 660
  • [9] PROTRUDING ATHEROMAS IN THE THORACIC AORTA AND SYSTEMIC EMBOLIZATION
    TUNICK, PA
    PEREZ, JL
    KRONZON, I
    [J]. ANNALS OF INTERNAL MEDICINE, 1991, 115 (06) : 423 - 427
  • [10] TRANS-ESOPHAGEAL TWO-DIMENSIONAL ECHOCARDIOGRAPHY IN YOUNG-PATIENTS WITH CEREBRAL ISCHEMIC EVENTS
    ZENKER, G
    ERBEL, R
    KRAMER, G
    MOHRKAHALY, S
    DREXLER, M
    HARNONCOURT, K
    MEYER, J
    [J]. STROKE, 1988, 19 (03) : 345 - 348