Cardiac chiari network as an etiology for embolic stroke

Penelope Edwards, Marcella Wozniak, Mary Corretti, Thomas R. Price

Research output: Contribution to journalArticle

Abstract

The Chiari network is a congenital remnant in the right atrium. It is not commonly associated wtih clinical complications. We report the first case of medically treated embolic stroke in a patient with a cardiac Chiari network and a patent foramen ovale. A 59-year-old woman without cardiac history or signs presented with multiple cerebral infarctions in both the anterior and posterior cerebral circulations. Standard evaluation for cerebral infarction was unrevealing. Transesophageal echocardiography demonstrated a Chiari network in the right atrium and a right-to-left shunt. The Chiari network appeared thickened. After anticoagulation with warfarin, the patient developed no new symptoms of stroke, and repeat transesophageal echocardiography showed resolution of the presumed thrombus on the Chiari network. In workup of patients with ischemic strokes of unknown etiology, transesophageal echocardiography should be considered as an important method for comprehensive evaluation of the right atrium.

Original languageEnglish (US)
Pages (from-to)238-241
Number of pages4
JournalJournal of Stroke and Cerebrovascular Diseases
Volume4
Issue number4
DOIs
StatePublished - 1994
Externally publishedYes

Fingerprint

Transesophageal Echocardiography
Heart Atria
Stroke
Cerebral Infarction
Cerebrovascular Circulation
Patent Foramen Ovale
Warfarin
Thrombosis
History

Keywords

  • Cerebral infarction
  • Chiari network
  • Echocardiography
  • Embolic stroke
  • Warfarin

ASJC Scopus subject areas

  • Surgery
  • Rehabilitation
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

Cite this

Cardiac chiari network as an etiology for embolic stroke. / Edwards, Penelope; Wozniak, Marcella; Corretti, Mary; Price, Thomas R.

In: Journal of Stroke and Cerebrovascular Diseases, Vol. 4, No. 4, 1994, p. 238-241.

Research output: Contribution to journalArticle

Edwards, Penelope ; Wozniak, Marcella ; Corretti, Mary ; Price, Thomas R. / Cardiac chiari network as an etiology for embolic stroke. In: Journal of Stroke and Cerebrovascular Diseases. 1994 ; Vol. 4, No. 4. pp. 238-241.
@article{79518207755c4997ba5c8e32bbc40f93,
title = "Cardiac chiari network as an etiology for embolic stroke",
abstract = "The Chiari network is a congenital remnant in the right atrium. It is not commonly associated wtih clinical complications. We report the first case of medically treated embolic stroke in a patient with a cardiac Chiari network and a patent foramen ovale. A 59-year-old woman without cardiac history or signs presented with multiple cerebral infarctions in both the anterior and posterior cerebral circulations. Standard evaluation for cerebral infarction was unrevealing. Transesophageal echocardiography demonstrated a Chiari network in the right atrium and a right-to-left shunt. The Chiari network appeared thickened. After anticoagulation with warfarin, the patient developed no new symptoms of stroke, and repeat transesophageal echocardiography showed resolution of the presumed thrombus on the Chiari network. In workup of patients with ischemic strokes of unknown etiology, transesophageal echocardiography should be considered as an important method for comprehensive evaluation of the right atrium.",
keywords = "Cerebral infarction, Chiari network, Echocardiography, Embolic stroke, Warfarin",
author = "Penelope Edwards and Marcella Wozniak and Mary Corretti and Price, {Thomas R.}",
year = "1994",
doi = "10.1016/S1052-3057(10)80098-9",
language = "English (US)",
volume = "4",
pages = "238--241",
journal = "Journal of Stroke and Cerebrovascular Diseases",
issn = "1052-3057",
publisher = "W.B. Saunders Ltd",
number = "4",

}

TY - JOUR

T1 - Cardiac chiari network as an etiology for embolic stroke

AU - Edwards, Penelope

AU - Wozniak, Marcella

AU - Corretti, Mary

AU - Price, Thomas R.

PY - 1994

Y1 - 1994

N2 - The Chiari network is a congenital remnant in the right atrium. It is not commonly associated wtih clinical complications. We report the first case of medically treated embolic stroke in a patient with a cardiac Chiari network and a patent foramen ovale. A 59-year-old woman without cardiac history or signs presented with multiple cerebral infarctions in both the anterior and posterior cerebral circulations. Standard evaluation for cerebral infarction was unrevealing. Transesophageal echocardiography demonstrated a Chiari network in the right atrium and a right-to-left shunt. The Chiari network appeared thickened. After anticoagulation with warfarin, the patient developed no new symptoms of stroke, and repeat transesophageal echocardiography showed resolution of the presumed thrombus on the Chiari network. In workup of patients with ischemic strokes of unknown etiology, transesophageal echocardiography should be considered as an important method for comprehensive evaluation of the right atrium.

AB - The Chiari network is a congenital remnant in the right atrium. It is not commonly associated wtih clinical complications. We report the first case of medically treated embolic stroke in a patient with a cardiac Chiari network and a patent foramen ovale. A 59-year-old woman without cardiac history or signs presented with multiple cerebral infarctions in both the anterior and posterior cerebral circulations. Standard evaluation for cerebral infarction was unrevealing. Transesophageal echocardiography demonstrated a Chiari network in the right atrium and a right-to-left shunt. The Chiari network appeared thickened. After anticoagulation with warfarin, the patient developed no new symptoms of stroke, and repeat transesophageal echocardiography showed resolution of the presumed thrombus on the Chiari network. In workup of patients with ischemic strokes of unknown etiology, transesophageal echocardiography should be considered as an important method for comprehensive evaluation of the right atrium.

KW - Cerebral infarction

KW - Chiari network

KW - Echocardiography

KW - Embolic stroke

KW - Warfarin

UR - http://www.scopus.com/inward/record.url?scp=84874338877&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84874338877&partnerID=8YFLogxK

U2 - 10.1016/S1052-3057(10)80098-9

DO - 10.1016/S1052-3057(10)80098-9

M3 - Article

AN - SCOPUS:84874338877

VL - 4

SP - 238

EP - 241

JO - Journal of Stroke and Cerebrovascular Diseases

JF - Journal of Stroke and Cerebrovascular Diseases

SN - 1052-3057

IS - 4

ER -