Atrial septal aneurysm and spontaneous echo contrast: an association with higher embolic risk?

Tomás Francisco Cianciulli1, Demián Chejtman, Susana Beatriz Lipshitz

  • 1Division of Cardiology, Clínica Bazterrica, Buenos Aires, Argentina. tcianciulli@fibertel.com.ar

We report the transesophageal echocardiogram of a patient who was admitted to the intensive care unit with a diagnosis of acute ischemic stroke, in whom a large atrial septal aneurysm (ASA) was seen bulging toward the right atrium with marked spontaneous echo contrast (SEC) inside but without thrombi, suggesting that ASA and SEC could represent a new association with higher embolic risk.

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