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Atrial septal defects and embolic stroke in young adults
Year:
1992
Source of publication :
Harefuah
Authors :
Ezra, David
;
.
Volume :
123
Co-Authors:
Ash, N., Dept. of Medicine A, Chaim Sheba Medical Center, Tel Hashomer.
Lubetsky, A., Dept. of Medicine A, Chaim Sheba Medical Center, Tel Hashomer.
Ezra, D., Dept. of Medicine A, Chaim Sheba Medical Center, Tel Hashomer.
Olchovsky, D., Dept. of Medicine A, Chaim Sheba Medical Center, Tel Hashomer.
Facilitators :
From page:
91
To page:
0
(
Total pages:
-90
)
Abstract:
The mechanism of embolic stroke in young adults remains unidentified in about 35% of cases. In recent years defects in the atrial septum have been described as an important route for cerebral and retinal embolism. These include classical atrial septal defect and patent foramen ovale, as well as the less well-recognized entity of atrial septal aneurysm, with or without interatrial communication. The combined incidence of these defects in the general population is between 20-35%. The introduction of transesophageal echocardiography and the use of echogenic contrast have lead to significant improvement in identification. We describe 3 patients in whom atrial defects were identified as possible routes for cerebral embolism: The first presented with recurrent stroke and combined atrial septal aneurysm and patent foramen ovale. In the second, patent foramen ovale was found in a patient with 2 prosthetic values. The third was a soldier in whom patent foramen ovale was found following transient loss of consciousness. Based on our modest experience and review of the literature we believe that transesophageal and contrast echocardiography should be performed in every young patient with unexplained cerebral ischemia.
Note:
Related Files :
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echocardiography
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Heart Septal Defects, Atrial
heart septum defect
human
Male
recurrent disease
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Related Content
More details
DOI :
Article number:
0
Affiliations:
Database:
Scopus
Publication Type:
article
;
.
Language:
English
Editors' remarks:
ID:
27778
Last updated date:
02/03/2022 17:27
Creation date:
17/04/2018 00:33
Scientific Publication
Atrial septal defects and embolic stroke in young adults
123
Ash, N., Dept. of Medicine A, Chaim Sheba Medical Center, Tel Hashomer.
Lubetsky, A., Dept. of Medicine A, Chaim Sheba Medical Center, Tel Hashomer.
Ezra, D., Dept. of Medicine A, Chaim Sheba Medical Center, Tel Hashomer.
Olchovsky, D., Dept. of Medicine A, Chaim Sheba Medical Center, Tel Hashomer.
Atrial septal defects and embolic stroke in young adults
The mechanism of embolic stroke in young adults remains unidentified in about 35% of cases. In recent years defects in the atrial septum have been described as an important route for cerebral and retinal embolism. These include classical atrial septal defect and patent foramen ovale, as well as the less well-recognized entity of atrial septal aneurysm, with or without interatrial communication. The combined incidence of these defects in the general population is between 20-35%. The introduction of transesophageal echocardiography and the use of echogenic contrast have lead to significant improvement in identification. We describe 3 patients in whom atrial defects were identified as possible routes for cerebral embolism: The first presented with recurrent stroke and combined atrial septal aneurysm and patent foramen ovale. In the second, patent foramen ovale was found in a patient with 2 prosthetic values. The third was a soldier in whom patent foramen ovale was found following transient loss of consciousness. Based on our modest experience and review of the literature we believe that transesophageal and contrast echocardiography should be performed in every young patient with unexplained cerebral ischemia.
Scientific Publication
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