Marked Regression of Aortic Plaque by Intensive Cholesterol-Lowering Therapy — A Case of Cholesterol Embolism

Jiro Sakamoto; Chisato Izumi; Shuichi Takahashi; Sumiyo Hashiwada; Seiko Nakajima; Masakata Nishiga; Kazuya Yamao; Kouji Hanazawa; Makoto Miyake; Toshihiro Tamura; Hirokazu Kondo; Makoto Motooka; Kazuaki Kaitani; Yoshihisa Nakagawa

doi:10.5551/jat.6387

Case Report

Marked Regression of Aortic Plaque by Intensive Cholesterol-Lowering Therapy

— A Case of Cholesterol Embolism

Jiro Sakamoto, Chisato Izumi, Shuichi Takahashi, Sumiyo Hashiwada, Seiko Nakajima, Masakata Nishiga, Kazuya Yamao, Kouji Hanazawa, Makoto Miyake, Toshihiro Tamura, Hirokazu Kondo, Makoto Motooka, Kazuaki Kaitani, Yoshihisa Nakagawa

Author information

Jiro Sakamoto
Department of Cardiology, Tenri Hospital.
Chisato Izumi
Department of Cardiology, Tenri Hospital.
Shuichi Takahashi
Department of Clinical Pathology, Tenri Hospital.
Sumiyo Hashiwada
Department of Clinical Pathology, Tenri Hospital.
Seiko Nakajima
Department of Cardiology, Tenri Hospital.
Masakata Nishiga
Department of Cardiology, Tenri Hospital.
Kazuya Yamao
Department of Cardiology, Tenri Hospital.
Kouji Hanazawa
Department of Cardiology, Tenri Hospital.
Makoto Miyake
Department of Cardiology, Tenri Hospital.
Toshihiro Tamura
Department of Cardiology, Tenri Hospital.
Hirokazu Kondo
Department of Cardiology, Tenri Hospital.
Makoto Motooka
Department of Cardiology, Tenri Hospital.
Kazuaki Kaitani
Department of Cardiology, Tenri Hospital.
Yoshihisa Nakagawa
Department of Cardiology, Tenri Hospital.

Keywords: Aortic plaque, Intensive cholesterol-lowering therapy, Transesophageal echocardiography

JOURNAL OPEN ACCESS

2011 Volume 18 Issue 5 Pages 421-424

DOI https://doi.org/10.5551/jat.6387

View "Advance Publication" version (January 13, 2011).

Details

Abstract

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.

Corresponding author

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