Aortic atheroma: An unknown source of ischemic stroke

Minerva Cardioangiologica

Volumn 50, Issue 1, 2002, Pages 53-58

  Accadia, M ^a   Ascione, L ^a   Tartaglia, P F ^a   Guarini, P ^b   De Michele, M ^c   Muto, C ^a   Sacra, C ^a   Tuccillo, B ^a  

^a Ospedale Loreto Mare   (Italy)

^b Osp Accreditato Villa Fiori   (Italy)

^c UNIVERSITY OF NAPLES FEDERICO II   (Italy)

Author keywords

Aorta, thoracic; Aortic diseases; Atherosclerosis; Cerebrovascular accident

Indexed keywords

AORTA DISEASE; ARTERIOSCLEROSIS; ARTIFICIAL EMBOLISM; BRAIN ISCHEMIA; CEREBROVASCULAR ACCIDENT; CLASSIFICATION; EMBOLISM; HUMAN; REVIEW; THORACIC AORTA;

AORTA, THORACIC; AORTIC DISEASES; ARTERIOSCLEROSIS; BRAIN ISCHEMIA; CEREBROVASCULAR ACCIDENT; EMBOLISM; EMBOLIZATION, THERAPEUTIC; HUMANS;

EID: 0039488155     PISSN: 00264725     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (33)

1. Mohr JP, Caplan LR, Melsky SW, Goldstein RJ, Duncan GW, Kistler JP et al. The Harvard Cooperative Stroke Registry. A prospective registry. Neurology 1978;28: 754-62.
2. Foulkes MA, Wolf PA, Price TR, Mohr JP, Hier DB. The stroke Data Bank: Design, methods and baseline characteristics. Stroke 1988;19:547-54.
3. Bogousslavsky S, Van Melle G, Regli F. The Lausanne Stroke Registry: Analysis of 1,000 consecutive patients with first stroke. Stroke 1988;19:1083-92.
4. Adams HP, Bendixen BH, Kapelle LJ, Biller J, Love BB, Gordon DL et al. Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. Stroke 1993;24:35-41.
5. Gomez CR, Tulyapronchote R, Neurologists' perspective in the evaluation of ischemic stroke. Echocardiography 1993;10:367-72.
6. Winter WJ, Atheromatous emboli. A cause of cerebral infarction. Arch Pathol 1957;64:137-42.
7. Seward JB, Khanderia BK, Edwards WD, Oh JK, Freeman WK, Tank AJ. Biplanar transesophageal echocardiography: anatomic correlations, image orientation, and clinical applications. Mayo Clinic Proc 1990;65: 1193-213.
8. Roelandt JRTC, Thomson JR, Vletter WB, Brommersma P, Bom N, Linker DT et al. Multiplane transesophageal ecocardiography Latest evolution in an imaging revolution. J Am Soc Echocardiogr 1992;5:361-7.
9. Ribakov GH, Katz ES, Galloway AC et al. Surgical implications of transesophageal achocardiography to grade the atheromatous aortic arch. Ann Thorac Surg 1992; 53:758-63.
10. The French Study of Aortic Plques in Stroke Group: Atherosclerotic disease of the aortic arch as a risk factor for recurrent ischemic stroke. N Engl J Med 1996; 334:1216-21.
11. Vaduganathan P, Ewton A, Nagueh S, Weilbaecher D, Safi H, Zoghbi W. Pathologic correlates of aortic plaques, thrombi and mobile "aortic debris" imaged in vivo with transesophageal echocardiography. J Am Coll Cardiol 1997;30:357-63.
12. Zarins CK, Giddens DP, Bharadvaj BK, Sottiurai VS, Mabon RF, Glagox S. Carotid bifurcation atherosclerosis: quantitative correlation of plaque localization with flow velocity profiless and wall shear stress. Circ Res 1983;53:502-14.
13. Tunick PA, Rosenzweig BP, Kats ES, Freedberg RS, Perez JL, Kronzon I. High risk for vascular events in patients with pretruding aortic atheromas: a prospetive study. J Am Coll Cardiol 1994;23:1085-90.
14. Khatibzadeh M, Mitusch R, Stierle U, Gromoll B. Sheikhzadeh A Aortic atherosclerotic plaque as a source of systemic embolism. J Am Coll Cardiol 1996;27:664-9.
15. Amarenco P, Cohen A, Baudrimont M, Bousser MG. Transesophageal echocardiographic detection of aortic arch disease in patients with cerebral infarction. Stroke 1992;23:1005-9.
16. Horowitz DR, Tuhrim S, Budd J, Goldman ME. Aortic plaque in patients with brain ischemia: diagnosis by transesophageal echocardiography. Neurology 1992;42:1602-4.
17. Amarenco P, Cohen A, Tzourio C, Bertrand B, Hommed M, Besson G et al. Atherosclerotic disease of the aortic arch and the risk of ischemic stroke. N Engl J Med 1994;331:1474-9.
18. Davila-Roman V, Murphy S, Nickerson N, Kouchoukos NT, Schechtman K, Barzilai B. Atherosclerosis of the ascending aorta is an indipendent predictor of long-term neurologic events and mortality. J Am Coll Cardiol 1999;33:1308-16.
19. Cohen A, Tzourio C, Bertrand B, Chauvel C, Bousser MG, Amarenco P. Aortic plaque morphology and vascular events. Circ 1997;96:3838-41.
20. Montgomery DH, Ververis JJ, McGorisk G, Frohwein S, Martin RP, Taylor WR. Natural history of severe atheromatous disease of the thoracic aorta: a transesphageal echocardiographic study. J Am Coll Cardiol 1996;27:95-101.
21. Karalis DG, Quinn VJ, Ross JJ jr, Chandrasekaran K. Transesophageal echocardiography identifies patients at high risk of arterial embolism during invasive aortic procedures. J Am Coll Cardiol 1992:19.
22. Keeley E, Grines CL. Scraping of aortic debris by coronary guiding catheters. J Am Coll Cardiol 1998; 32:1861-5.
23. Katz ES, Tunick PA, Kronzon I. The transesphageal echocardiographyc demonstration of coronary flow augmentation and ballon function during intra-aortic ballon counter-pulsation. Am J Cardiol 1992;40:574-81.
24. Salomon NW, Page US, Bigelow JC, Krause AH, Okies JE, Metzdorff MT. Coronary arterybypassgraftingin elderly patients. Cooperative results in a consecutive series of 469 patients older than 75 years. J Thorac Cardiovacsc 1991;101:209-17.
25. Katzz ES, Tunick PA, Rusinek H, Ribakove G, Spencer FC, Kronzon I. Protruding aortic atheromas predict stroke in elderly patients undergoing cardiopulmonary bypass: exprience with intraoperative transesophageal echocardiography. J Am Coll Cardiol 1992;20:70-7.
26. Bucher HC, Griffith LE, Guyatt GH. Effect of HMGcoA reductase inhibitors on stroke: a meta-anlysis of randomized controlled trials. Ann Intern Med 1998;128: 89-95.
27. Plehn JF, Davis BR, Sacks FM et al. Reduction of stroke incidence after myocardial infarctio with pravastatin: the Cholesterol and Recurrent Events (CARE) Study Circul 1999;99:216-23.
28. Ferrari E, Vidal R, Chevallier T, Baudouy M. Atherosclerosis of the thoracic aorta and aortic debris as a marker of poor prognosis:benefit of oral anticoagulants. J Am Coll Cardiol 1999;33:1317-22.
29. Dressler FA, Craig WR, Castello R, Labovitz AJ. mobile aortic atheroma and systemic emboli: efficacy of anticoagultion and influence of pique morphology on recurrent stroke. J Am Coll Cardiol 1998;31:134-8.
30. Feder W, Auerbach R. Purple toes. An uncommon sequelae of oral Coumadin drug therapy. Ann Intern Med 1961;55:911-7.
31. Hollier LH, Kazmier FJ, Ochsner JL, Bowen JC, Proctor CD. Shaggy aorta syndrome with atheromatous embolization to visceral vessels. Ann Vasc Surg 1991;5:439-44.
32. Koppang JR, Nanda NC, Coghlan C. Histologically confirmed cholesterol atheroemboli with identification of source by transesphageal echocardiography. Echocardiography 1992;9:379-83.
33. Culliford AT, Tunick PA, Katz ES, Kronzon I, Galloway AC, Ribakove GH et al. Initial experience with removal of protruding atheroma from the aortic arch: diagnosis by transesophageal echo, operative technique, and follow-up. J Am Coll Cardiol 1993;21:342A.