Three-dimensional transesophageal echocardiographic evaluation of aortic plaque after cerebrovascular event

• DOI: 10.1016/j.repc.2021.12.017
• Publication Date: 2022-12-05T17:08:53Z
• Authors: Ana Clara Rodrigues; Gisele Sampaio Silva; Claudia G. Monaco; Rodrigo Cordovil ...; Rafael Bonafim Pi...; Claudio Henrique ...; Edgar B. Lira-Filho; Samira S. Morhy; Marcelo L. Campos...
• Keywords: Stroke; Atheroma; Descending aorta; Aortic sinus

Transesophageal echocardiography (TEE) is crucial in order to assess aortic anatomy after stroke. Although routinely used cardiovascular and function, three-dimensional (3D TEE) less for evaluation. We thus sought prospectively whether additional information on plaque morphology could be obtained with 3D TEE an ischemic stroke.Patients within one week of a stroke (confirmed by brain computed tomography/magnetic resonance) underwent findings were compared two-dimensional (2D) (aorta number, dimensions, area the presence debris ulcerations). Patients followed two years death or new stroke.We assessed 78 patients, 43 (55%) male, aged 62±14 old, 92% sinus rhythm. Aortic atheroma was found mainly descending aorta (50%); thickness similar 2D (0.29±0.03 cm) (0.29±0.04 cm), whereas slightly increased measurements (0.24±0.02 cm2 versus 0.37±0.03 respectively, p<0.05), strong correlation both (r=0.91) (r=0.80) measurements. While equally seen techniques, defines ulcerations (six unseen better, p=0.03). There 11 events deaths five strokes) during follow-up, unrelated characteristics.To evaluate morphology, superior due improved detection ulcerated plaque; this might provide patients