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Hollenhorst plaques: Retinal manifestations and the role of carotid endarterectomy
Thomas H. Schwarcz, MD, Darwin Eton, MD, Martin I. Ellenby, MD, Thomas Stelmack, OD, Timothy T. McMahon, OD, Sharon Mulder, RN, Joseph P. Meyer, MD, Jens Eldrup-Jorgensen, MD, Joseph R. Durham, MD, D.Preston Flanigan, MD, James J. Schuler, MD Journal of Vascular Surgery Volume 11, Issue 5, Pages (May 1990) DOI: / (90)90208-R Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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Fig. 1 Hollenhorst plaque (arrow) that persisted for 7 years and resulted in the development of a tortuous collateral vessel. The patient initially had a transient visual field defect attributable to this plaque but manifested no other cerebrovascular symptoms at any time. Journal of Vascular Surgery , DOI: ( / (90)90208-R) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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Fig. 2 Carotid arteriogram obtained because of the incidental discovery of an asymptomatic Hollenhorst plaque. Minimal atherosclerotic lesions (arrows), which represent potential sources of cholesterol emboli, are present in the internal carotid artery at both its origin and in the region of the siphon. This patient underwent an uneventful carotid endarterectomy, but developed a new asymptomatic Hollenhorst plaque in the same eye 29 months later. Journal of Vascular Surgery , DOI: ( / (90)90208-R) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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