Multiple brain infarctions and aneurysm of interatrial septum: Case report

Background and Objective: Previous reports have described an association between atrial septal aneurysm and cerebral embolic events. We report this patient for clinical presentation of multi-infarction and role of transesophageal echocardiography in diagnosis of this condition. Case: A 40-year-old m...

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Autores principales:	M, Saravi, SMM Hojati
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2004
Materias:	interatrial septal aneurysm cerebral stroke transesophageal echocardiography Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b2abcd29390c4cf1a4db161fb3f6c9ab
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spelling	oai:doaj.org-article:b2abcd29390c4cf1a4db161fb3f6c9ab2021-11-10T09:16:19ZMultiple brain infarctions and aneurysm of interatrial septum: Case report1561-41072251-7170https://doaj.org/article/b2abcd29390c4cf1a4db161fb3f6c9ab2004-10-01T00:00:00Zhttp://jbums.org/article-1-2673-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170Background and Objective: Previous reports have described an association between atrial septal aneurysm and cerebral embolic events. We report this patient for clinical presentation of multi-infarction and role of transesophageal echocardiography in diagnosis of this condition. Case: A 40-year-old man was admitted in hospital because of sudden right hemiparesis, which repeated after three weeks with Wernicke dysphasia and after that degrees of apathy. Brain CT scan revealed some hypodense areas. Ultrasound study failed detect any thrombosis or stenosis in carotid, vertebral and basilar arteries. MRI was in favor of vascular events. No arrhythmia was found in holter ECG. Transthoracic and transesophageal echocardiography were in favor of atrial septal aneurysm without patent foramen ovale or any thrombus. Warfarin was started and there was no recurrence during follow up. Conclusion: Inter-atrial septal aneurysm is probably an important factor for stroke. Embolic event is due to migration of in situ thrombosis or transition through it. Marked mobility and thickness of aneurysm may also increase the risk of embolization. Transesophageal echocardiography is a helpful tool in the diagnosis and management of patients with stroke and this anomaly.M, SaraviSMM HojatiBabol University of Medical Sciencesarticleinteratrial septal aneurysmcerebral stroketransesophageal echocardiographyMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 6, Iss 4, Pp 66-70 (2004)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	interatrial septal aneurysm cerebral stroke transesophageal echocardiography Medicine R Medicine (General) R5-920
spellingShingle	interatrial septal aneurysm cerebral stroke transesophageal echocardiography Medicine R Medicine (General) R5-920 M, Saravi SMM Hojati Multiple brain infarctions and aneurysm of interatrial septum: Case report
description	Background and Objective: Previous reports have described an association between atrial septal aneurysm and cerebral embolic events. We report this patient for clinical presentation of multi-infarction and role of transesophageal echocardiography in diagnosis of this condition. Case: A 40-year-old man was admitted in hospital because of sudden right hemiparesis, which repeated after three weeks with Wernicke dysphasia and after that degrees of apathy. Brain CT scan revealed some hypodense areas. Ultrasound study failed detect any thrombosis or stenosis in carotid, vertebral and basilar arteries. MRI was in favor of vascular events. No arrhythmia was found in holter ECG. Transthoracic and transesophageal echocardiography were in favor of atrial septal aneurysm without patent foramen ovale or any thrombus. Warfarin was started and there was no recurrence during follow up. Conclusion: Inter-atrial septal aneurysm is probably an important factor for stroke. Embolic event is due to migration of in situ thrombosis or transition through it. Marked mobility and thickness of aneurysm may also increase the risk of embolization. Transesophageal echocardiography is a helpful tool in the diagnosis and management of patients with stroke and this anomaly.
format	article
author	M, Saravi SMM Hojati
author_facet	M, Saravi SMM Hojati
author_sort	M, Saravi
title	Multiple brain infarctions and aneurysm of interatrial septum: Case report
title_short	Multiple brain infarctions and aneurysm of interatrial septum: Case report
title_full	Multiple brain infarctions and aneurysm of interatrial septum: Case report
title_fullStr	Multiple brain infarctions and aneurysm of interatrial septum: Case report
title_full_unstemmed	Multiple brain infarctions and aneurysm of interatrial septum: Case report
title_sort	multiple brain infarctions and aneurysm of interatrial septum: case report
publisher	Babol University of Medical Sciences
publishDate	2004
url	https://doaj.org/article/b2abcd29390c4cf1a4db161fb3f6c9ab
work_keys_str_mv	AT msaravi multiplebraininfarctionsandaneurysmofinteratrialseptumcasereport AT smmhojati multiplebraininfarctionsandaneurysmofinteratrialseptumcasereport
_version_	1718440226488057856

Multiple brain infarctions and aneurysm of interatrial septum: Case report

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