Marked regression of aortic plaque by intensive cholesterol-lowering therapy

A 65-year-old man with rheumatic combined valvular heart disease showed a persistent fever after cardiac catheterization. He was diagnosed with cholesterol embolism due to multiple mobile plaques in the descending thoracic aorta by transesophageal echocardiography (TEE) along with persistent eosinop...

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Bibliographic Details
Published in:Journal of atherosclerosis and thrombosis 2011, Vol.18 (5), p.421-424
Main Authors: Sakamoto, Jiro, Izumi, Chisato, Takahashi, Shuichi, Hashiwada, Sumiyo, Nakajima, Seiko, Nishiga, Masakata, Yamao, Kazuya, Hanazawa, Kouji, Miyake, Makoto, Tamura, Toshihiro, Kondo, Hirokazu, Motooka, Makoto, Kaitani, Kazuaki, Nakagawa, Yoshihisa
Format: Article
Language:English
Subjects:
Aged
Aorta, Thoracic - pathology
Aortic Diseases - diagnosis
Aortic Diseases - drug therapy
Aortic Diseases - etiology
Cardiac Catheterization - adverse effects
Cholesterol - therapeutic use
Echocardiography, Transesophageal
Embolism, Cholesterol - diagnosis
Embolism, Cholesterol - drug therapy
Embolism, Cholesterol - etiology
Fever - etiology
Fever - prevention & control
Heart Valve Diseases - complications
Heart Valve Diseases - therapy
Humans
Male
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Summary:A 65-year-old man with rheumatic combined valvular heart disease showed a persistent fever after cardiac catheterization. He was diagnosed with cholesterol embolism due to multiple mobile plaques in the descending thoracic aorta by transesophageal echocardiography (TEE) along with persistent eosinophilia, deteriorating renal function, and blue toe sign. He was treated with intensive cholesterol-lowering therapy for 3 years, resulting in marked regression of the aortic plaque on TEE.
ISSN:1340-3478
1880-3873
DOI:10.5551/jat.6387