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复杂主动脉斑块：主动脉瓣狭窄中的隐藏危险。经食管超声心动图的作用。

Complex aortic plaques: hidden danger in aortic stenosis. Role of transesophageal echocardiography.

作者信息

Benites-Yshpilco Lindsay, Cupe-Chacalcaje Kelly, Cachicatari-Beltrán Angela, Moscoso Josh, Velarde-Acosta Kevin, Demarini-Orellana Alessio, Lévano-Pachas Gerald, Baltodano-Arellano Roberto

机构信息

Departamento de Cardiología Clínica, Hospital Guillermo Almenara Irigoyen - EsSalud, Lima, Peru. Departamento de Cardiología Clínica Hospital Guillermo Almenara Irigoyen - EsSalud Lima Peru.

Servicio de Cardiología, Área de Imagen Cardíaca, Hospital Guillermo Almenara Irigoyen - EsSalud, Lima, Peru. Servicio de Cardiología, Área de Imagen Cardíaca Hospital Guillermo Almenara Irigoyen - EsSalud Lima Peru.

出版信息

Arch Peru Cardiol Cir Cardiovasc. 2024 Jun 24;5(2):e377. doi: 10.47487/apcyccv.v5i2.377. eCollection 2024 Apr-Jun.

DOI:10.47487/apcyccv.v5i2.377
PMID:39015195
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11247973/
Abstract

Aortic stenosis is associated with aortic plaques in up to 85% of cases because they share risk factors and pathogenic pathways. Intrinsically, complex aortic plaques carry a high risk of stroke, which has also been demonstrated in the context of aortic stenosis, especially in patients who underwent percutaneous or surgical replacement. Transesophageal echocardiography (TEE) is the imaging test of choice to detect plaques in the thoracic aorta and classify them as complex plaques. Furthermore, the 3D modality allows us to better specify its dimensions and anatomical characteristics, such as added thrombi or the presence of ulcers inside. This review aims to evaluate the use of TEE to detect complex aortic plaques in patients with an indication for percutaneous or surgical aortic valve replacement. To highlight the association between aortic stenosis and complex aortic plaques, we attached to the review some TEE studies from our experience.

摘要

高达85%的主动脉瓣狭窄病例与主动脉斑块相关，因为它们具有共同的危险因素和致病途径。本质上，复杂的主动脉斑块具有较高的中风风险，这在主动脉瓣狭窄的情况下也得到了证实，尤其是在接受经皮或手术置换的患者中。经食管超声心动图（TEE）是检测胸主动脉斑块并将其分类为复杂斑块的首选影像学检查。此外，三维模式使我们能够更好地确定其尺寸和解剖特征，如附加血栓或内部溃疡的存在。本综述旨在评估TEE在有经皮或手术主动脉瓣置换指征的患者中检测复杂主动脉斑块的应用。为了突出主动脉瓣狭窄与复杂主动脉斑块之间的关联，我们在综述中附上了一些来自我们经验的TEE研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9137/11247973/cfd3e60cb5d7/apcyccv-5-02-e377-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9137/11247973/4489db9e937e/apcyccv-5-02-e377-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9137/11247973/7020ef3e9806/apcyccv-5-02-e377-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9137/11247973/d5aae0cd80c6/apcyccv-5-02-e377-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9137/11247973/c828024beef8/apcyccv-5-02-e377-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9137/11247973/a7ec9476001c/apcyccv-5-02-e377-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9137/11247973/cfd3e60cb5d7/apcyccv-5-02-e377-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9137/11247973/4489db9e937e/apcyccv-5-02-e377-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9137/11247973/7020ef3e9806/apcyccv-5-02-e377-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9137/11247973/d5aae0cd80c6/apcyccv-5-02-e377-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9137/11247973/c828024beef8/apcyccv-5-02-e377-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9137/11247973/a7ec9476001c/apcyccv-5-02-e377-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9137/11247973/cfd3e60cb5d7/apcyccv-5-02-e377-gf6.jpg

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Pathophysiology, emerging techniques for the assessment and novel treatment of aortic stenosis.主动脉瓣狭窄的病理生理学、评估新兴技术和新的治疗方法。
Open Heart. 2023 Mar;10(1). doi: 10.1136/openhrt-2022-002244.
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Three-dimensional transesophageal echocardiographic evaluation of aortic plaque after cerebrovascular event.
脑血管事件后主动脉斑块的三维经食管超声心动图评估。
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