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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:Medical and Health Sciences
Research Group:Cardiorespiratory Medicine and Haematology
Research Field:Cardiology (incl. Cardiovascular Diseases)
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Cardiovascular System and Diseases
UTAS Author:Negishi, K (Dr Kazuaki Negishi)
ID Code:90038
Year Published:2010
Web of Science® Times Cited:4
Deposited By:Menzies Institute for Medical Research
Deposited On:2014-03-25
Last Modified:2014-03-25
Downloads:0

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