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Related Experiment Video

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Novel and Innovative Hybrid Technique for Type A Aortic Dissection

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Published on: March 28, 2025

[Thoracic aortic dissection revealed by systemic cholesterol embolism].

L Braem¹, P Paule, P Héno

¹Service de cardiologie, HIA Laveran, boulevard Alphonse-Laveran, BP 50, 13998 Marseille-Armées, France. docteur.louis@wanadoo.fr

Annales De Cardiologie Et D'Angeiologie

|November 3, 2006

Summary

Cholesterol embolism syndrome, often linked to arterial procedures, can unmask a previously unknown aortic dissection. This rare association highlights the importance of specific diagnostic imaging.

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Multimodality Diagnosis of Mesenteric Ischemia

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Area of Science:

Cardiology
Vascular Medicine
Nephrology

Background:

Systemic cholesterol embolism is a rare but serious complication of atherosclerosis.
While arterial catheterization is a known cause, its association with aortic dissection is exceptionally rare.
Cholesterol embolism syndrome presents with diverse clinical manifestations.

Observation:

A 70-year-old male with cardiovascular risk factors presented with purpuric lesions and acute renal failure, indicative of cholesterol embolism syndrome.
The patient had a history of coronary angioplasty and was found to have a descending thoracic aortic dissection with complex atheroma via transoesophageal echocardiography.
Clinical progression included digital ischemia and worsening renal failure necessitating hemodialysis.

Findings:

Transoesophageal echocardiography is crucial for diagnosing aortic dissection, especially in patients without typical thoracic symptoms.
Cholesterol embolism syndrome can be an unusual presenting sign of underlying aortic dissection.
Rupture of the intimal flap of the aortic dissection was confirmed on follow-up imaging.

Implications:

This case underscores the need for thorough cardiovascular evaluation in patients diagnosed with cholesterol embolism syndrome.
Transoesophageal echocardiography serves as a valuable, non-invasive tool for detecting aortic pathology in this context.
Recognizing this rare association can lead to earlier diagnosis and management of potentially life-threatening aortic dissections.