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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1996-9-10
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pubmed:abstractText |
A strong association between interatrial septal aneurysm (IASA) and stroke has recently led many authors to consider IASA as a potential cardiac source of embolism. We studied the morphological characteristics and main associations of IASA in a large cooperative study based on transoesophageal echocardiographic examinations; 259 IASA were studied in 134 men and 125 women with a mean age of 59 +/- 15 years. Fifty-five percent of IASA were found to overlap the commonly described fossa ovalis region. IASA protruded into the right atrium in 90% of the cases. They appeared thin in 81% of the patients and highly mobile in 79%. Fifty-eight percent of patients had a history of systemic embolic events, while an atrial septal shunt was detected in 61% of the patients. In patients with an embolic event, only the mobility of IASA was significantly higher than in those with no embolic event. In nine cases a pulmonary embolism was associated with arterial embolism. Furthermore, we reported three cases of paradoxical embolism. However, the true demonstration of a thrombus within the IASA was quite rare. CONCLUSION: IASA is probably an important risk factor for stroke. In patients with IASA and a history of embolic events, IASA may enhance migration of a thrombus constituted in situ or transiting through it. Marked mobility of IASA may also increase the risk of peripheral embolus.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0167-5273
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
10
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pubmed:volume |
52
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
59-65
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pubmed:dateRevised |
2006-7-12
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pubmed:meshHeading |
pubmed-meshheading:8707438-Adult,
pubmed-meshheading:8707438-Aged,
pubmed-meshheading:8707438-Aged, 80 and over,
pubmed-meshheading:8707438-Cerebrovascular Disorders,
pubmed-meshheading:8707438-Echocardiography, Transesophageal,
pubmed-meshheading:8707438-Female,
pubmed-meshheading:8707438-France,
pubmed-meshheading:8707438-Heart Aneurysm,
pubmed-meshheading:8707438-Heart Atria,
pubmed-meshheading:8707438-Heart Septum,
pubmed-meshheading:8707438-Humans,
pubmed-meshheading:8707438-Incidence,
pubmed-meshheading:8707438-Male,
pubmed-meshheading:8707438-Middle Aged,
pubmed-meshheading:8707438-Risk Factors
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pubmed:year |
1995
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pubmed:articleTitle |
Atrial septal aneurysm. Morphological characteristics in a large population: pathological associations. A French multicenter study on 259 patients investigated by transoesophageal echocardiography.
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pubmed:affiliation |
Hôpital Cardiologique du Haut-Lévêque, Pessac, France.
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pubmed:publicationType |
Journal Article,
Multicenter Study
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