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The seabed-like appearance of atherosclerotic plaques: three-dimensional transesophageal echocardiographic images of the aortic arch causing cholesterol crystal emboli
Citation
Negishi, K and Tsuchiya, H and Nakajima, M and Goto, K and Kurosawa, K and Fukuda, N and Takahashi, R and Nakano, A and Kurabayashi, M, The seabed-like appearance of atherosclerotic plaques: three-dimensional transesophageal echocardiographic images of the aortic arch causing cholesterol crystal emboli, Journal of the American Society of Echocardiography, 23, (11) pp. 1222.e1-4. ISSN 0894-7317 (2010) [Refereed Article]
DOI: doi:10.1016/j.echo.2010.04.003
Abstract
Cholesterol crystal embolism (CCE) is a rare but important complication of endovascular procedures or anticoagulation therapy. An 84-year-old man was referred to the Gunma University Graduate School of Medicine with the diagnosis of acute myocardial infarction. After successful emergency coronary angioplasty, his serum creatinine level increased continuously. A subsequent skin biopsy confirmed that the patient had CCE. Transesophageal echocardiography (TEE) clearly demonstrated the mobile mass protruding from the complex atheroma. Three-dimensional TEE provides more precise and attractive volumetric images of the atherosclerotic plaque than two-dimensional TEE. In addition, the findings of this case revealed contrast media-induced nephropathy and CCE as possible causes of renal dysfunction after endovascular procedures.
Item Details
| Item Type: | Refereed Article |
|---|---|
| Research Division: | Biomedical and Clinical Sciences |
| Research Group: | Cardiovascular medicine and haematology |
| Research Field: | Cardiology (incl. cardiovascular diseases) |
| Objective Division: | Health |
| Objective Group: | Clinical health |
| Objective Field: | Clinical health not elsewhere classified |
| UTAS Author: | Negishi, K (Dr Kazuaki Negishi) |
| ID Code: | 90038 |
| Year Published: | 2010 |
| Web of Science® Times Cited: | 5 |
| Deposited By: | Menzies Institute for Medical Research |
| Deposited On: | 2014-03-25 |
| Last Modified: | 2014-03-25 |
| Downloads: | 0 |
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