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The seabed-like appearance of atherosclerotic plaques: three-dimensional transesophageal echocardiographic images of the aortic arch causing cholesterol crystal emboli

journal contribution
posted on 2023-05-17, 23:24 authored by Kazuaki Negishi, Tsuchiya, H, Nakajima, M, Goto, K, Kurosawa, K, Fukuda, N, Takahashi, R, Nakano, A, Kurabayashi, M
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.

History

Publication title

Journal of the American Society of Echocardiography

Volume

23

Issue

11

Pagination

1222.e1-4

ISSN

0894-7317

Department/School

Menzies Institute for Medical Research

Publisher

Mosby

Place of publication

Inc, 11830 Westline Industrial Dr, St Louis, USA, Mo, 63146-3318

Repository Status

  • Restricted

Socio-economic Objectives

Clinical health not elsewhere classified

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