A Large Grade 5 Mobile Aortic Arch Atheromatous Plaque: Cause of Cerebrovascular Accident

Aortic atheromas (aortic atheromatous plaques) are defined by an irregular thickening of the intima ≥2 mm, and a complex plaque is defined as a protruding atheroma ≥4 mm with or without an attached mobile component. Stroke incidence is approximately 25% in patients with mobile plaques of the aortic...

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Autores principales: Alvarez, Chikezie, Aslam, Hafiz Muhammad, Wallach, Sara, Mustafa, Muhammad U.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5902081/
https://www.ncbi.nlm.nih.gov/pubmed/29808095
http://dx.doi.org/10.1155/2018/5134309
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author Alvarez, Chikezie
Aslam, Hafiz Muhammad
Wallach, Sara
Mustafa, Muhammad U.
author_facet Alvarez, Chikezie
Aslam, Hafiz Muhammad
Wallach, Sara
Mustafa, Muhammad U.
author_sort Alvarez, Chikezie
collection PubMed
description Aortic atheromas (aortic atheromatous plaques) are defined by an irregular thickening of the intima ≥2 mm, and a complex plaque is defined as a protruding atheroma ≥4 mm with or without an attached mobile component. Stroke incidence is approximately 25% in patients with mobile plaques of the aortic arch and 2% in patients with quiescent nonmobile plaques. Antiplatelet agents, oral anticoagulants, and statins have been suggested in the management of atheromas. We present an 80-year-old male, with non-ST-segment elevation myocardial infarction (NSTEMI) and chronic dysarthria, found to have an acute cerebrovascular accident (CVA) secondary to embolism from a large 12 mm aortic arch plaque, treated medically with oral antiplatelet therapy, anticoagulation, and statin therapy.
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spelling pubmed-59020812018-05-28 A Large Grade 5 Mobile Aortic Arch Atheromatous Plaque: Cause of Cerebrovascular Accident Alvarez, Chikezie Aslam, Hafiz Muhammad Wallach, Sara Mustafa, Muhammad U. Case Rep Med Case Report Aortic atheromas (aortic atheromatous plaques) are defined by an irregular thickening of the intima ≥2 mm, and a complex plaque is defined as a protruding atheroma ≥4 mm with or without an attached mobile component. Stroke incidence is approximately 25% in patients with mobile plaques of the aortic arch and 2% in patients with quiescent nonmobile plaques. Antiplatelet agents, oral anticoagulants, and statins have been suggested in the management of atheromas. We present an 80-year-old male, with non-ST-segment elevation myocardial infarction (NSTEMI) and chronic dysarthria, found to have an acute cerebrovascular accident (CVA) secondary to embolism from a large 12 mm aortic arch plaque, treated medically with oral antiplatelet therapy, anticoagulation, and statin therapy. Hindawi 2018-04-01 /pmc/articles/PMC5902081/ /pubmed/29808095 http://dx.doi.org/10.1155/2018/5134309 Text en Copyright © 2018 Chikezie Alvarez et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Alvarez, Chikezie
Aslam, Hafiz Muhammad
Wallach, Sara
Mustafa, Muhammad U.
A Large Grade 5 Mobile Aortic Arch Atheromatous Plaque: Cause of Cerebrovascular Accident
title A Large Grade 5 Mobile Aortic Arch Atheromatous Plaque: Cause of Cerebrovascular Accident
title_full A Large Grade 5 Mobile Aortic Arch Atheromatous Plaque: Cause of Cerebrovascular Accident
title_fullStr A Large Grade 5 Mobile Aortic Arch Atheromatous Plaque: Cause of Cerebrovascular Accident
title_full_unstemmed A Large Grade 5 Mobile Aortic Arch Atheromatous Plaque: Cause of Cerebrovascular Accident
title_short A Large Grade 5 Mobile Aortic Arch Atheromatous Plaque: Cause of Cerebrovascular Accident
title_sort large grade 5 mobile aortic arch atheromatous plaque: cause of cerebrovascular accident
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5902081/
https://www.ncbi.nlm.nih.gov/pubmed/29808095
http://dx.doi.org/10.1155/2018/5134309
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