Atrial Septal Defects and Cardioembolic Strokes.

Abstract:

:Atrial septal defects (ASDs) can be complicated by cardioembolic strokes, but the exact incidence is unknown. Patients with large and small shunts may present with a cardioembolic stroke. Patients with cryptogenic strokes should have cardiac ultrasound to see if an ASD is present. Cardioembolic strokes associated with ASD principally occur with 2 mechanisms. The first is paradoxic embolism involving a venous-based source of thrombus, which may subsequently pass through the ASD by right-to-left shunting, causing a cardioembolic stroke. The second is atrial fibrillation that can complicate the course of patients with ASDs, especially as they age.

journal_name

Cardiol Clin

journal_title

Cardiology clinics

authors

Leppert M,Poisson SN,Carroll JD

doi

10.1016/j.ccl.2015.12.004

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

225-30

issue

2

eissn

0733-8651

issn

1558-2264

pii

S0733-8651(15)00144-7

journal_volume

34

pub_type

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