Atheromatosis of the Aortic Arch as an Occult Source of Multiple Systemic Emboli
- Paul A. Tunick, MD;
- Alfred T. Culliford, MD;
- Patrick J. Lamparello, MD; and
- Itzhak Kronzon, MD
Excerpt
Atheroemboli 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
This 100-word excerpt has been provided in the absence of an abstract.
Article and Author Information
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From the New York University Medical Center, New York, New York. For current author addresses, see end of text.
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Requests for Reprints: Paul A. Tunick, MD, New York University Medical Center, 560 First Avenue, 2-E, New York, NY 10016.
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Current Author Addresses: Drs. Tunick, Culliford, Lamparello, and Kronzon: New York University Medical Center, 550 First Avenue, New York, NY 10016.
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