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Atrial septal aneurysm: association with cerebrovascular and peripheral embolic events.

Publication ,  Journal Article
Belkin, RN; Hurwitz, BJ; Kisslo, J
Published in: Stroke
1987

Patient records in 36 consecutively identified patients with typical echocardiographic findings of atrial septal aneurysm were reviewed. Ten of the 36 (28%) had cerebrovascular events. Of these 10, 5 had completed strokes of definite embolic origin on the basis of clinical, angiographic, and computed tomographic findings; 2 had transient ischemic attacks of probable embolic origin. One of the 36 patients had a definite peripheral vascular embolus. Thus, 6 of 36 consecutively identified patients with atrial septal aneurysm (17%) had definite embolic events and 8 of 36 (22%) had definite or possible embolic events. The cause of the association between atrial septal aneurysm and emboli is unknown. While aneurysm-associated thrombus has been suggested, the high proportion (90%) of patients with interatrial shunting demonstrated by contrast echocardiography in this study suggests paradoxical embolization as a potential cause. Whatever its mechanism, the high prevalence of embolic events in this series strongly supports the premise that atrial septal aneurysm is a cardiac abnormality with embolic potential.

Duke Scholars

Published In

Stroke

DOI

ISSN

0039-2499

Publication Date

1987

Volume

18

Issue

5

Start / End Page

856 / 862

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Neurology & Neurosurgery
  • Middle Aged
  • Male
  • Intracranial Embolism and Thrombosis
  • Humans
  • Heart Septum
  • Heart Aneurysm
  • Female
  • Embolism
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Belkin, R. N., Hurwitz, B. J., & Kisslo, J. (1987). Atrial septal aneurysm: association with cerebrovascular and peripheral embolic events. Stroke, 18(5), 856–862. https://doi.org/10.1161/01.str.18.5.856
Belkin, R. N., B. J. Hurwitz, and J. Kisslo. “Atrial septal aneurysm: association with cerebrovascular and peripheral embolic events.Stroke 18, no. 5 (1987): 856–62. https://doi.org/10.1161/01.str.18.5.856.
Belkin RN, Hurwitz BJ, Kisslo J. Atrial septal aneurysm: association with cerebrovascular and peripheral embolic events. Stroke. 1987;18(5):856–62.
Belkin, R. N., et al. “Atrial septal aneurysm: association with cerebrovascular and peripheral embolic events.Stroke, vol. 18, no. 5, 1987, pp. 856–62. Pubmed, doi:10.1161/01.str.18.5.856.
Belkin RN, Hurwitz BJ, Kisslo J. Atrial septal aneurysm: association with cerebrovascular and peripheral embolic events. Stroke. 1987;18(5):856–862.

Published In

Stroke

DOI

ISSN

0039-2499

Publication Date

1987

Volume

18

Issue

5

Start / End Page

856 / 862

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Neurology & Neurosurgery
  • Middle Aged
  • Male
  • Intracranial Embolism and Thrombosis
  • Humans
  • Heart Septum
  • Heart Aneurysm
  • Female
  • Embolism