Images in Clinical Medicine
Kim Eagle, M.D., Editor
Atheroembolism
N Engl J Med 1995; 333:852September 28, 1995
- Article
Figure 1 Lesions typical of atheroembolism are apparent on the feet (Panel A) of a 65-year-old man who had undergone left heart catheterization through the femoral approach four weeks earlier. Nonoliguric renal failure developed (serum creatinine, 5.5 mg per deciliter [490 μmol per liter]), and livedo reticularis and cutaneous infarcts were present on both feet, with preserved distal pulses. A transesophageal echocardiogram of the descending thoracic aorta showed multiple complex, pedunculated, mobile, protruding lesions presumed to be atheromas (arrows in Panel B), the probable source of embolism.
Kim Eagle, M.D.
Ramdas G. Pai, M.D.
J. Thomas Heywood, M.D.
Veterans Affairs Medical Center, Loma Linda, CA 92357
