Complex aortic plaques: hidden danger in aortic stenosis. Role of transesophageal echocardiography

Lindsay Benites-Yshpilco; Kelly Cupe-Chacalcaje; Angela Cachicatari-Beltran; Josh Moscoso; Kevin Velarde-Acosta; Alessio Demarini-Orellana; Gerald Levano-Pachas; Roberto Baltodano-Arellano

doi:10.47487/apcyccv.v5i2.377

Autores/as

Lindsay Benites-Yshpilco Departamento de Cardiología Clínica, Hospital Guillermo Almenara Irigoyen – EsSalud, Lima, Peru. https://orcid.org/0000-0002-3846-0868
Kelly Cupe-Chacalcaje Servicio de Cardiología, Área de Imagen Cardíaca, Hospital Guillermo Almenara Irigoyen – EsSalud, Lima, Peru. https://orcid.org/0000-0002-7497-3898
Angela Cachicatari-Beltrán Servicio de Cardiología, Área de Imagen Cardíaca, Hospital Guillermo Almenara Irigoyen – EsSalud, Lima, Peru. https://orcid.org/0000-0001-7908-5200
Josh Moscoso Departamento de Cardiología Clínica, Hospital Guillermo Almenara Irigoyen – EsSalud, Lima, Peru. https://orcid.org/0000-0002-1814-4630
Kevin Andy Velarde Acosta Departamento de Cardiología Clínica, Hospital Guillermo Almenara Irigoyen – EsSalud, Lima, Peru. https://orcid.org/0000-0001-9132-0445
Alessio Demarini-Orellana Universidad de San Martín de Porres, Lima, Peru. https://orcid.org/0009-0002-2798-8277
Gerald Lévano-Pachas Departamento de Cardiología Clínica, Hospital Guillermo Almenara Irigoyen – EsSalud, Lima, Peru. https://orcid.org/0000-0002-4136-5802
Roberto Baltodano-Arellano Servicio de Cardiología, Área de Imagen Cardíaca, Hospital Guillermo Almenara Irigoyen – EsSalud, Lima, Peru; Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Peru. https://orcid.org/0000-0002-7538-2125

DOI:

https://doi.org/10.47487/apcyccv.v5i2.377

Palabras clave:

Plaque, Atherosclerotic, Thoracic Aorta, Aortic stenosis, Echocardiography, Transesophageal

Resumen

Aortic stenosis is associated with aortic plaques in up to 85% of cases because they share risk factors and pathogenic pathways. Intrinsically, complex aortic plaques carry a high risk of stroke, which has also been demonstrated in the context of aortic stenosis, especially in patients who underwent percutaneous or surgical replacement. Transesophageal echocardiography (TEE) is the imaging test of choice to detect plaques in the thoracic aorta and classify them as complex plaques. Furthermore, the 3D modality allows us to better specify its dimensions and anatomical characteristics, such as added thrombi or the presence of ulcers inside. This review aims to evaluate the use of TEE to detect complex aortic plaques in patients with an indication for percutaneous or surgical aortic valve replacement. To highlight the association between aortic stenosis and complex aortic plaques, we attached to the review some TEE studies from our experience.

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