Thoracic Aortic Arteriosclerosis in Patients With Degenerative Aortic Stenosis With and Without Coexisting Coronary Artery Disease Sorel Goland, MD,

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Presentation transcript:

Thoracic Aortic Arteriosclerosis in Patients With Degenerative Aortic Stenosis With and Without Coexisting Coronary Artery Disease Sorel Goland, MD, Alfredo Trento, MD, Lawrence S.C. Czer, MD, Shervin Eshaghian, MD, Kirsten Tolstrup, MD, Tasneem Z. Naqvi, MD, Michele A. De Robertis, RN, James Mirocha, MS, Kiyoshi Iida, MD, Robert J. Siegel, MD The Annals of Thoracic Surgery Volume 85, Issue 1, Pages 113-119 (January 2008) DOI: 10.1016/j.athoracsur.2007.08.025 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Comparison of prevalence of aortic atheroma in any segment of the thoracic aorta, aortic root calcification and ascending aorta among three groups: patients with degenerative aortic stenosis (AS) with and without coronary artery disease (CAD) and the control group. (B) Comparison of aortic atheroma prevalence and morphology in the aortic arch among three groups: patients with degenerative AS with and without CAD and the control group. (C) Comparison of aortic atheroma prevalence and morphology in the descending aorta among three groups: patients with degenerative AS with and without CAD and the control group. (D) Comparison of aortic atheroma score among three groups: patients with AS with and without CAD and the control group. Aortic atheroma score (the sum of maximum plaque thickness of three segments) has been measured in patients having atheroma (83% in AS/CAD group, 62% in AS/no CAD group, and 44% in the control group patients). Probability values are for comparisons among the three groups. (Ao = aorta; Ao root Ca = aortic root calcification; Asc Ao = ascending aorta.) The Annals of Thoracic Surgery 2008 85, 113-119DOI: (10.1016/j.athoracsur.2007.08.025) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Various types of atheroma in the thoracic aorta evaluated by intraoperative transesophageal echocardiography in patients with severe aortic stenosis and coexisting coronary artery disease. The left top image shows a protruding complex atheroma of the aortic arch (arrow). The left bottom image is an example of a simple atheroma in the junction of aortic arch and descending aorta (arrow). The right top image demonstrates highly mobile sessile atheroma in the aortic arch (arrow), and the right bottom image shows multiple protruding atheromas with very thick aortic wall (arrow). The Annals of Thoracic Surgery 2008 85, 113-119DOI: (10.1016/j.athoracsur.2007.08.025) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions