title: Impending paradoxical cerebral embolism in a patient with atrial septal aneurysm.
abstract: There is increasing emphasis on the role of interatrial septal abnormalities, including patent foramen ovale and atrial septal aneurysm, in the genesis of stroke. However, a transseptal thrombus located in both atria is rarely visualized by echocardiography or other cardiac imaging techniques. It is also difficult to prove the mechanism of stroke in most clinical settings. In the present case of impending paradoxical cerebral embolism, the thrombus penetrating the atrial septal wall was visualized by transesophageal echocardiography.
authors.affiliation: Department of Cardiology, Hokushin General Hospital, Nagano, Japan.
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Miyazaki
authors.forename: Takashi
authors.initials: T
authors.lastname: Hirai
authors.forename: Noriyo
authors.initials: N
authors.lastname: Hosokawa
authors.forename: Eiichiro
authors.initials: E
authors.lastname: Hattori
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Komura
authors.forename: Hideo
authors.initials: H
authors.lastname: Konagai
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Sagai
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Takamoto
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003952:Diagnostic Imaging; D017548:Echocardiography, Transesophageal; D006322:Heart Aneurysm / Q000150:complications*; D006344:Heart Septal Defects, Atrial / Q000150:complications*; D006801:Humans; D020766:Intracranial Embolism / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D013927:Thrombosis