Key result
TTE detects mobile aortic arch atheroma in post-stroke evaluation.
Why the study?
Transesophageal echocardiography has been the standard method for diagnosing protruding and/or mobile aortic arch atherosclerosis associated with stroke, but alternative diagnostic approaches are needed.
Key points are not available for this paper at this time.
Population
A patient with recent stroke
Comparison
Transthoracic echocardiography vs transesophageal echocardiography
Design
Case report
TTE may detect mobile aortic arch atheroma in stroke; leaves open validation against TEE or CT before clinical use.
Aortic arch atherosclerosis is associated with an increased risk of stroke or TIA. Up to now, transesophageal echocardiography has been the standard method for diagnosing protruding and/or mobile aortic arch atherosclerosis. We report a case where a mobile aortic arch atheroma was diagnosed using transthoracic echo in a patient with a recent stroke.
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Meltzer et al. (2007) studied this question. Transthoracic echocardiography successfully diagnosed a mobile aortic arch atheroma in a patient with a recent stroke.
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