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TTE was abnormal in 16 of 30 patients,but no embolic source was identified.TEE disclosed left atrial appendage thrombus in 3 of 30 patients,atrial septal aneurysm in 2 of 30 patients,patent foramen ovale in 7 of 30 patients,and aortic plaques in 19 of 30 patients.The TEE resulted in a change of therapy in 3 of the 30 patients studied.This study demonstrates that TEE is a helpful diagnostic tool in delineating risk of cardioembolic stroke and demonstrates significant pathology even in a subset of patients deemed to be at low risk.This additional new information led to a substantial change in therapy in 3 of 30 patients. |
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aortic arch ulcerated plaques
atrial septal aneurysm
cerebral embolism
cerebral embolism,cardiac origin
cerebral infarction
cerebral ischemia
cerebrovascular accident
cerebrovascular accident,cryptogenic
echocardiogram
echocardiogram,transesophageal
echocardiogram,transthoracic,false negative
patent foramen ovale
thrombus,atrial
treatment of neurologic disorder
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