Marked regression of aortic plaque by intensive cholesterol-lowering therapy.
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.
Department of Cardiology, Tenri Hospital, Nara, Japan. jirosaka@tenriyorozu-hp.or.jp
Jiro
J
Sakamoto
Chisato
C
Izumi
Shuichi
S
Takahashi
Sumiyo
S
Hashiwada
Seiko
S
Nakajima
Masakata
M
Nishiga
Kazuya
K
Yamao
Kouji
K
Hanazawa
Makoto
M
Miyake
Toshihiro
T
Tamura
Hirokazu
H
Kondo
Makoto
M
Motooka
Kazuaki
K
Kaitani
Yoshihisa
Y
Nakagawa
D000368:Aged; D001013:Aorta, Thoracic / Q000473:pathology*; D001018:Aortic Diseases / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D006328:Cardiac Catheterization / Q000009:adverse effects*; D002784:Cholesterol / Q000627:therapeutic use*; D017548:Echocardiography, Transesophageal; D017700:Embolism, Cholesterol / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D005334:Fever / Q000209:etiology / Q000517:prevention & control; D006349:Heart Valve Diseases / Q000150:complications* / Q000628:therapy; D006801:Humans; D008297:Male
D002784:Cholesterol