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Spontaneous echocardiographic contrast in the descending thoracic aorta
M A Zainea1, A M Karamali, I Grinberg
1Department of Internal Medicine/Division of Cardiology, Providence Hospital, Southfield, Mich, USA.
Insights
Spontaneous echocardiographic contrast (SEC) in the descending thoracic aorta is rare, typically linked to low flow states. One case study showed SEC resolution after addressing an underlying cardiac issue.
Area of Science:
- Cardiovascular imaging
- Hemodynamics
- Echocardiography
Background:
- Spontaneous echocardiographic contrast (SEC) is commonly observed in cardiac chambers during transesophageal echocardiography.
- SEC is infrequently reported in the descending thoracic aorta, particularly without aortic dissection.
Observation:
- This report details three cases of SEC identified in the descending thoracic aorta.
- The observed SEC is hypothesized to result from red blood cell and plasma protein interactions in low flow conditions.
Findings:
- One patient experienced complete resolution of descending thoracic aorta SEC.
- This resolution correlated with the successful repair of a co-existing cardiac disorder.
Implications:
- These findings suggest a potential link between cardiac conditions and SEC in the descending thoracic aorta.
- Further research may elucidate the role of cardiac function in aortic SEC and its management.
Abstract:
Spontaneous echocardiographic contrast (SEC) is an occasional finding observed in the atria in patients undergoing transesophageal echocardiographic studies, but has rarely been described in the descending thoracic aorta in the absence of an aortic dissection. The pathophysiology of SEC in the cardiac and vascular structures appears to be related to an interaction between red blood cells and plasma proteins in the setting of a low flow state. In this report we present three cases of SEC in the descending thoracic aorta, with one of the cases of SEC resolving with repair of his underlying cardiac disorder.
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