The presence of marked spontaneous echo contrast within a large atrial septal aneurysm may represent a novel marker of increased embolic risk in patients with acute ischemic stroke.
May indicate higher embolic risk in ischemic stroke; hypothesis-generating case report requiring prospective validation.
We report the transesophageal echocardiogram of a patient who was admitted to the intensive care unit with a diagnosis of acute ischemic stroke, in whom a large atrial septal aneurysm (ASA) was seen bulging toward the right atrium with marked spontaneous echo contrast (SEC) inside but without thrombi, suggesting that ASA and SEC could represent a new association with higher embolic risk.
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CIANCIULLI et al. (2005) studied this question.
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