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Angiology
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Multiple Cerebral Infarcts Associated with an Atrial Septal Aneurysm

Superimposed Thrombus Detected by Transesophageal Echocardiography

Elie Chammas

Service d'Explorations fonctionnelles cardio-vasculaire; Hôpital Cardiologique

Manuel Trinca

Service d'Explorations fonctionnelles cardio-vasculaire; Hôpital Cardiologique

Luc Goullard

Service d'Explorations fonctionnelles cardio-vasculaire; Hôpital Cardiologique

Didier Leys

Service de Neurologie B; Hôpital B, CHU de Lille, Bd du Prof Leclerc, Lille, France

Yvon Houdas

Service d'Explorations fonctionnelles cardio-vasculaire; Hôpital Cardiologique

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 surimposed thrombus. This rare cause of systemic emboli can be diagnosed only by transesophageal echocardiog raphy and is of major interest to avoid recurrence of ischemic strokes.

Angiology, Vol. 46, No. 4, 327-331 (1995)
DOI: 10.1177/000331979504600407
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