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

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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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:
Retrograde embolism
Stroke
Transient ischemic attack
Cryptogenic
Online Access:http://www.sciencedirect.com/science/article/pii/S0019483213001156
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spelling doaj-fe336c462e8c45528cc892127f5a33a42020-11-24T23:01:07ZengElsevierIndian Heart Journal0019-48322013-05-0165331932210.1016/j.ihj.2013.04.024Retrograde embolism from the descending thoracic aorta causing stroke: An underappreciated clinical conditionLovely Chhabra0Rabin Niroula1Jayant Phadke2David H. Spodick3Department of Internal Medicine, Saint Vincent Hospital, University of Massachusetts Medical School, Worcester, MA 01608, USADepartment of Internal Medicine, Saint Vincent Hospital, University of Massachusetts Medical School, Worcester, MA 01608, USADepartment of Neurology, Saint Vincent Hospital, University of Massachusetts Medical School, Worcester, MA 01608, USADepartment of Cardiovascular Medicine, Saint Vincent Hospital, University of Massachusetts Medical School, Worcester, MA 01608, USAThe 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.http://www.sciencedirect.com/science/article/pii/S0019483213001156Retrograde embolismStrokeTransient ischemic attackCryptogenic
collection DOAJ
language English
format Article
sources DOAJ
author Lovely Chhabra
Rabin Niroula
Jayant Phadke
David H. Spodick
spellingShingle Lovely Chhabra
Rabin Niroula
Jayant Phadke
David H. Spodick
Retrograde embolism from the descending thoracic aorta causing stroke: An underappreciated clinical condition
Indian Heart Journal
Retrograde embolism
Stroke
Transient ischemic attack
Cryptogenic
author_facet Lovely Chhabra
Rabin Niroula
Jayant Phadke
David H. Spodick
author_sort Lovely Chhabra
title Retrograde embolism from the descending thoracic aorta causing stroke: An underappreciated clinical condition
title_short Retrograde embolism from the descending thoracic aorta causing stroke: An underappreciated clinical condition
title_full Retrograde embolism from the descending thoracic aorta causing stroke: An underappreciated clinical condition
title_fullStr Retrograde embolism from the descending thoracic aorta causing stroke: An underappreciated clinical condition
title_full_unstemmed Retrograde embolism from the descending thoracic aorta causing stroke: An underappreciated clinical condition
title_sort retrograde embolism from the descending thoracic aorta causing stroke: an underappreciated clinical condition
publisher Elsevier
series Indian Heart Journal
issn 0019-4832
publishDate 2013-05-01
description 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.
topic Retrograde embolism
Stroke
Transient ischemic attack
Cryptogenic
url http://www.sciencedirect.com/science/article/pii/S0019483213001156
work_keys_str_mv AT lovelychhabra retrogradeembolismfromthedescendingthoracicaortacausingstrokeanunderappreciatedclinicalcondition
AT rabinniroula retrogradeembolismfromthedescendingthoracicaortacausingstrokeanunderappreciatedclinicalcondition
AT jayantphadke retrogradeembolismfromthedescendingthoracicaortacausingstrokeanunderappreciatedclinicalcondition
AT davidhspodick retrogradeembolismfromthedescendingthoracicaortacausingstrokeanunderappreciatedclinicalcondition
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