Splenic and mesenteric emboli in a patient with protruding aortic arch atheroma

Autor: Lee H. Goldstein, Walid Saliba, Joel Sayfan, Mazen Elias, T. Eliasberg, Lev Bloch
Rok vydání: 2004
Předmět:
Zdroj: European Journal of Internal Medicine. 15:398-400
ISSN: 0953-6205
DOI: 10.1016/j.ejim.2004.07.004
Popis: Protruding atheromas in the thoracic aorta are an important cause of embolic disease. Transesophageal echocardiography (TEE) is the modality of choice for diagnosis of these lesions. We present a patient with splenic infarction in whom TEE revealed a large mobile atheroma in the aortic arch. A few hours following the disappearance of this mass from the aortic arch, the patient developed mesenteric artery embolism requiring subtotal small-bowel resection. We discuss the importance of the aortic arch as a source of peripheral emboli and the treatment modalities in these patients.
Databáze: OpenAIRE