A rare case of mobile atherosclerotic plaque with a high embolic potential in the femoral artery

Česká verzia

Authors: Daniel Rob ¹; David Ručka ¹; Miroslav Chochola ¹; Debora Karetová ¹; Jan Hrubý ²; Eliška Kusová ³; Jean Claude Lubanda ¹
Authors place of work: II. interní klinika kardiologie a angiologie 1. LF UK a VFN Praha ¹; II. chirurgická klinika kardiovaskulární chirurgie 1. LF UK a VFN Praha ²; Radiodiagnostická klinika 1. LF UK a VFN Praha ³
Published in the journal: Vnitř Lék 2016; 62(1): 52-56
Category: Case Reports

Summary

Atherosclerosis is a diffuse disease which may lead to the development of unstable atherosclerotic plaque. Its rupture can result in acute ischemic event. The atherosclerotic plaques with a mobile component are typical presentations of such instability and patients with these plaques are at high risk of acute ischemic events. In the current literature, substantial data regarding the mobile atherosclerotic plaques in carotid arteries and thoracic aorta is published. However there are almost no data concerning the mobile plaques in the peripheral arteries of the lower limbs. We present a rare case of a patient with generalized atherosclerosis, in whom an asymptomatic mobile atherosclerotic plaque in the common femoral artery with a high embolic potential was diagnosed. This plaque was successfully removed by femoral endarterectomy. On the basis of this case, we review the possibilities and limitations of the current imaging methods in detection of mobile plaques in the peripheral arteries. Moreover optimal therapeutic approaches in such patients are discussed.

Key words:
acute limb ischemia – atherosclerosis – embolism – endarterectomy – mobile plaque – thrombosis – unstable plaque – vascular sonography

Zdroje

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