Department of Cardiology, Tenri Hospital, Nara, Japan.
J Atheroscler Thromb. 2011;18(5):421-4. doi: 10.5551/jat.6387. Epub 2011 Jan 13.
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.
一位 65 岁的风湿性联合瓣膜心脏病患者在心脏导管检查后持续发热。经经食管超声心动图(TEE)检查发现降主动脉内有多个移动斑块,并伴有持续嗜酸性粒细胞增多、肾功能恶化和蓝趾征,诊断为胆固醇栓塞。他接受了 3 年强化降脂治疗,TEE 显示主动脉斑块明显消退。