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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1987-10-16
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pubmed:abstractText |
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.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0039-2499
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
18
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
856-62
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:3629643-Adult,
pubmed-meshheading:3629643-Aged,
pubmed-meshheading:3629643-Aged, 80 and over,
pubmed-meshheading:3629643-Cerebrovascular Disorders,
pubmed-meshheading:3629643-Echocardiography,
pubmed-meshheading:3629643-Embolism,
pubmed-meshheading:3629643-Female,
pubmed-meshheading:3629643-Heart Aneurysm,
pubmed-meshheading:3629643-Heart Septum,
pubmed-meshheading:3629643-Humans,
pubmed-meshheading:3629643-Intracranial Embolism and Thrombosis,
pubmed-meshheading:3629643-Male,
pubmed-meshheading:3629643-Middle Aged,
pubmed-meshheading:3629643-Retrospective Studies
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pubmed:articleTitle |
Atrial septal aneurysm: association with cerebrovascular and peripheral embolic events.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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