Thorac Cardiovasc Surg 2000; 48(5): 302-304
DOI: 10.1055/s-2000-7873
Case Report
© Georg Thieme Verlag Stuttgart · New York

Surgical Treatment of a Large, Highly Mobile Atheroma in the Ascending Aorta

K. Kuwaki, K. Morishita, T. Abe
  • Department of Cardiovascular Surgery, Sapporo Higashi Tokushukai Hospital, and Departments of Thoracic and Cardiovascular Surgery, Sapporo Medical University Hospital, Sapporo, Japan
Further Information

Publication History

Publication Date:
31 December 2000 (online)

A 53-year-old woman diagnosed with chronic renal failure requiring homodyalisis, and Behcžet's disease was found, during a regular examination, having a large protruding mobile atheroma in the ascending aorta by transthoracic echocardiography. We performed surgery to remove the atheroma and localized debridement using moderate hypothermic circulatory arrest to prevent future stroke and embolism. She had an uneventful postoperative course.

References

  • 1 Amarenco P, Cohen A, Tzourio C. et al . Atherosclerotic disease of the aortic arch and the risk of ischemic stroke.  N Engl J Med.. 1994;  331 1474-1479
  • 2 Tunick P A, Rosenzweig B P, Katz E S, Freedberg R S, Perez J L, Kronzon I. High risk for vascular events in patients with protruding aortic atheromas: A prospective study.  J Am Coll Cardiol.. 1994;  23 1085-1090
  • 3 Mitusch R, Doherty C, Wucherpfennig H. et al . Vascular events during follow-up in patients with aortic arch atherosclerosis.  Stroke.. 1997;  28 36-39
  • 4 Tenenbaum A, Fisman E Z, Schneiderman J. et al . Disrupted mobile aortic plaques are a major risk factor for systemic embolism in the elderly.  Cardiology.. 1998;  89 246-251
  • 5 Swanson S J, Cohn L H. Excision of focal aortic arch atheroma using deep hypothermic circulatory arrest.  Ann Thorac Surg.. 1995;  60 457-458
  • 6 Bojay R M, Payne D D, Murphy R E. et al . Surgical treatment of systemic atheroembolism from the thoracic aorta.  Ann Thorac Surg.. 1996;  61 1389-1393
  • 7 Dee W, Geibel A, Kasper W, Konatantinides S, Just H. Mobil thrombi in atherosclerotic lesions of the thoracic aorta: The diagnostic impact of transesophageal echocardiography.  Am Heart J.. 1993;  126 707-710
  • 8 Laperche T, Laurian C, Roudaut R, Steg G. Mobile thromboses of the aortic arch without aortic debris. A transesophageal echocardiographic findings associated with unexplained arterial embolism.  Circulation.. 1997;  96 288-294
  • 9 Koren M J, Bryant B. Atherosclerotic disease of the aortic arch and the risk of ischemic stroke.  N Engl J Med.. 1995;  332 1237

Received for Publication: December 6,1999

Kenji KuwakiMD 

Department of Thoracic and Cardiovascular Surgery Sapporo Medical University School of Medicine

South 1, West 16, Chuo-ku Sapporo, 060-0061 Japan

Phone: Phone +81-11-611-2111 (ext. 3312)

Fax: Fax +81-11-613-7318

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