一个大型5级可移动性主动脉弓动脉粥样硬化斑块：脑血管意外的病因。

Alvarez Chikezie, Aslam Hafiz Muhammad, Wallach Sara, Mustafa Muhammad U

Seton Hall University, St. Francis Medical Center, Trenton, NJ, USA.

Capital Health Center, Hamilton, NJ, USA.

Case Rep Med. 2018 Apr 1;2018:5134309. doi: 10.1155/2018/5134309. eCollection 2018.

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.

主动脉粥样瘤（主动脉粥样斑块）定义为内膜不规则增厚≥2毫米，复杂斑块定义为突出的粥样瘤≥4毫米，伴有或不伴有附着的可移动成分。主动脉弓有可移动斑块的患者中风发生率约为25%，静止不可移动斑块的患者中风发生率为2%。抗血小板药物、口服抗凝剂和他汀类药物已被建议用于粥样瘤的治疗。我们报告一名80岁男性，患有非ST段抬高型心肌梗死（NSTEMI）和慢性构音障碍，发现因一枚12毫米的大型主动脉弓斑块栓塞继发急性脑血管意外（CVA），接受了口服抗血小板治疗、抗凝治疗和他汀类药物治疗。