Retrograde embolism from the descending thoracic aorta causing stroke: An underappreciated clinical condition

The mechanism of retrograde aortic blood flow is a complex and underreported clinical phenomenon. Complex plaques of the aortic arch are considered high-risk sources of cerebral emboli.1 Aortic plaques situated in the descending thoracic aorta are however often overlooked and in fact can be more fre...

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Bibliographic Details
Main Authors: Lovely Chhabra, Rabin Niroula, Jayant Phadke, David H. Spodick
Format: Article
Language:English
Published: Elsevier 2013-05-01
Series:Indian Heart Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0019483213001156
Description
Summary:The mechanism of retrograde aortic blood flow is a complex and underreported clinical phenomenon. Complex plaques of the aortic arch are considered high-risk sources of cerebral emboli.1 Aortic plaques situated in the descending thoracic aorta are however often overlooked and in fact can be more frequent potential sources of cerebral embolism through the mechanism of retrograde aortic blood flow. We present the case of an elderly Caucasian female who experienced recurrent posterior circulation embolic strokes where the only possible underlying etiology was found to be an atheroma in the descending thoracic aorta, possibly showering retrograde emboli.
ISSN:0019-4832