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  • Title: Cardioembolic stroke from atrial septal aneurysm.
    Author: Di Pasquale G, Andreoli A, Grazi P, Dominici P, Pinelli G.
    Journal: Stroke; 1988 May; 19(5):640-3. PubMed ID: 3363600.
    Abstract:
    Atrial septal aneurysm is an uncommon occult cardiac source of cerebral embolism. It is usually asymptomatic, and clinical cardiologic examination and electrocardiography fail to reveal its presence. We report a case of a 34-year-old woman with sudden right hemiplegia and aphasia from occlusion of the left carotid siphon in whom an atrial septal aneurysm was detected by two-dimensional echocardiography. The absence of atherosclerotic risk factors and vascular lesions proximal to the carotid occlusion strengthened a causal relation between atrial septal aneurysm and cerebral infarction. Consequently, two-dimensional echocardiography may be advisable in every patient with unexplained ischemic stroke to detect possible occult embolic cardiac abnormalities.
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