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Images in Clinical Medicine
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Volume 349:e23 December 11, 2003 Number 24
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Peripheral Embolism from an Aortic-Arch Atheroma

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A 62-year-old man presented with a one-month history of pain in the toes of both feet and in the left fourth fingertip. Examination revealed gangrene of the fingertip and all five toes of the right foot (Panel A), as well as dry gangrene of the fourth and fifth toes of the left foot. He had palpable bilateral femoral, popliteal, posterior tibial, and radial pulses and a diminished dorsalis pedis pulse. An angiogram of the legs and feet revealed occlusion of both anterior tibial arteries. A transesophageal echocardiogram (Panel B) revealed an ulcerated plaque (PL) in the aortic arch (Ao), with . . . [Full Text of this Article]

 

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Peripheral Embolism from an Aortic-Arch Atheroma
Beckman J. A., Gerhard-Herman M.
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N Engl J Med 2004; 350:1472, Apr 1, 2004. Correspondence

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