Multiple cerebral infarcts associated with an atrial septal aneurysm. Superimposed thrombus detected by transesophageal echocardiography.
The authors describe the case of a patient referred for evaluation of multiinfarct dementia. Conventional echocardiography revealed an aneurysm of the interatrial septum. A transesophageal echocardiogram demonstrated superimposed thrombus. This rare cause of systemic emboli can be diagnosed only by transesophageal echocardiography and is of major interest to avoid recurrence of ischemic strokes.
Chammas
E
E
Service d'Explorations fonctionnelles cardio-vasculaire; Hôpital Cardiologique, Lille, France.
Trinca
M
M
Goullard
L
L
Leys
D
D
Houdas
Y
Y
D000368:Aged; D002544:Cerebral Infarction / Q000209:etiology*; D015161:Dementia, Multi-Infarct / Q000209:etiology; D017548:Echocardiography, Transesophageal; D005260:Female; D006322:Heart Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D006325:Heart Atria / Q000000981:diagnostic imaging; D006331:Heart Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D006346:Heart Septum / Q000000981:diagnostic imaging; D006801:Humans; D013927:Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging