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 language | English (US) |
|---|---|
| Pages (from-to) | 238-241 |
| Number of pages | 4 |
| Journal | Journal of Stroke and Cerebrovascular Diseases |
| Volume | 4 |
| Issue number | 4 |
| DOIs | |
| State | Published - 1994 |
| Externally published | Yes |
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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 journal › Article
}
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 -