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Two patients presented with acute paraplegia,one spontaneously and the other after removal of an intra-aortic balloon pump catheter.Through the use of transeophageal echocardiography,we excluded aortic dissection and identified protruding atherosclerotic plaques in the descending thoracic aorta of each patient.Embolization of atheromatous material from the thoracic aorta was considered the most likely etiology of paraplegia in both cases.Embolization from atherosclerotic plaques in the thoracic aorta may be an underestimated cause of acute paraplegia.Transesophageal echocardiography provides a safe,rapid,and reliable tool for investigating a vascular etiology of acute paraplegia. |
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aorta,atherosclerosis echocardiogram echocardiogram,transesophageal embolism embolism,aortic embolism,atheromatous intraaortic balloon pump paraplegia paraplegia,acute spinal cord,embolism of spinal cord,infarction of spinal cord,ischemic lesion of
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