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[Abnormalities of the interatrial septum associated with cerebral ischemia in young adults: contribution of trans-oesophageal echocardiography]
- Source :
- La Tunisie medicale. 86(5)
- Publication Year :
- 2009
-
Abstract
- About 40% of the mechanism of ischaemic stroke in young adults remains unclear. A paradoxical embolism associated with persistence of a patent foramen ovale and/or the presence of an atrial septal anevrysm are significantly more frequent in patients examined for ischaemic stroke of unknown cause than in control subjects.was to evaluate the contribution of trans-oesophageal echocardiography to the diagnosis of abnormalities of the interatrial septum and to identify the role played by this condition in unexplained ischemic stroke.In 30 consecutive patients, trans-oesophageal echocardiography recording were made during a saline contrast study.Abnormalities of the interatrial septum was diagnosed in 23.3% cases. The proportion of patent foramen ovale was 10% (3 patients); atrial septal anevrysm was detected in 6.6%(2 patients). The prevalence of patent foramen ovale associated with atrial septal anevrysm was 6.6% (2 patients).Transesophageal echocardiography with contrast appears to be an effective exam in diagnosis of abnomalities of the interatrial septum and our study was suggestive of their embolic nature.
Details
- Language :
- French
- ISSN :
- 00414131
- Volume :
- 86
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- La Tunisie medicale
- Accession number :
- edsair.pmid..........2b1a3c6d45e409d2da16581f4bdddbf0