Heart as a Source of Stroke: Imaging Evaluation With Computed Tomography

Stroke from cardiac sources is a major cause of cerebral infarctions and ischemia. Cardiac sources of stroke include intracardiac thrombus, right-to-left shunts, tumors, and slow-flow states resulting from hemodynamic compromise. Computed tomography angiography of the neck is currently used for the evaluation of a suspected stroke. The availability of longer multidetector computed tomography detector arrays and prospective echocardiography triggering techniques could permit evaluation of the chest, head, and neck during the same examination, streamlining patient evaluation and management.

[1]  Byoung Wook Choi,et al.  Thrombus in the left atrial appendage in stroke patients: detection with cardiac CT angiography--a preliminary report. , 2008, Radiology.

[2]  D. Yousem,et al.  Watershed Strokes After Cardiac Surgery: Diagnosis, Etiology, and Outcome , 2006, Stroke.

[3]  M. Hennerici,et al.  Is Hypoperfusion an Important Cause of Strokes? If So, How? , 2006, Cerebrovascular Diseases.

[4]  B. Coull,et al.  Antithrombotic Therapy for Stroke in Young Adults , 2005, Journal of Thrombosis and Thrombolysis.

[5]  T. Jones,et al.  MR imaging of cardiac tumors. , 2005, Radiographics : a review publication of the Radiological Society of North America, Inc.

[6]  A. Testa,et al.  Review of dilated cardiomyopathies. Dilated cardiomyopathies and altered prothrombotic state: a point of view of the literature. , 2005, Panminerva medica.

[7]  R. Becker.  Biomarkers in Atrial Fibrillation: Investigating Biologic Plausibility, Cause, and Effect , 2005, Journal of Thrombosis and Thrombolysis.

[8]  A. Arboix,et al.  Specific cardiac disorders in 402 consecutive patients with ischaemic cardioembolic stroke. , 2004, International journal of cardiology.

[9]  J. Ferro.  Atrial fibrillation and cardioembolic stroke. , 2004, Minerva cardioangiologica.

[10]  S. Homma,et al.  Left ventricular mobile thrombus associated with ventricular assist device: diagnosis by transesophageal echocardiography. , 2004, Circulation journal : official journal of the Japanese Circulation Society.

[11]  A. Shuaib,et al.  Atrial myxoma as a cause of stroke: case report and discussion. , 2003, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[12]  A. Minagar,et al.  Cardioembolic Stroke: An Update , 2003, Southern medical journal.

[13]  J. Coste,et al.  Recurrent cerebrovascular events associated with patent foramen ovale, atrial septal aneurysm, or both. , 2001, The New England journal of medicine.

[14]  H. Diener,et al.  Risk Factors, Outcome, and Treatment in Subtypes of Ischemic Stroke: The German Stroke Data Bank , 2001, Stroke.

[15]  B. Thanopoulos,et al.  Patent ductus arteriosus equipment and technique. Amplatzer duct occluder: intermediate-term follow-up and technical considerations. , 2001, Journal of interventional cardiology.

[16]  P. Woodard,et al.  Metastatic involvement of the heart and pericardium: CT and MR imaging. , 2001, Radiographics : a review publication of the Radiological Society of North America, Inc.

[17]  J. Alpert,et al.  Antithrombotic therapy in patients with mechanical and biological prosthetic heart valves. , 2001, Chest.

[18]  B. Meier,et al.  Surgical management of complications after transcatheter closure of an atrial septal defect or patent foramen ovale. , 2000, The Journal of thoracic and cardiovascular surgery.

[19]  B Meier,et al.  Percutaneous closure of patent foramen ovale in patients with paradoxical embolism: long-term risk of recurrent thromboembolic events. , 2000, Circulation.

[20]  J. Wilkinson,et al.  Transcatheter closure of patent ductus arteriosus with the use of Rashkind occluders and/or Gianturco coils: long-term follow-up in 123 patients and special reference to comparison, residual shunts, complications, and technique. , 1999, American heart journal.

[21]  G. Lamas,et al.  Ventricular dysfunction and the risk of stroke after myocardial infarction. , 1997, The New England journal of medicine.

[22]  R. Harper,et al.  Determinants of increased regional left atrial coagulation activity in patients with mitral stenosis. , 1996, Circulation.

[23]  E. Haponik,et al.  Paradoxical Embolism: An Underrecognized Problem , 1995 .

[24]  W. Pugsley,et al.  Time Relationships in the Diagnosis and Treatment of Left-Atrial Myxoma , 1993, The Thoracic and cardiovascular surgeon.

[25]  R. Virmani,et al.  Primary sarcomas of the heart , 1992, Cancer.

[26]  R. Asinger,et al.  Cardiogenic brain embolism. The second report of the Cerebral Embolism Task Force. , 1989, Archives of neurology.

[27]  A. Kohno,et al.  CT findings of atrial myxoma. , 1984, Radiology.

[28]  J. G. Evans,et al.  The epidemiology of stroke. , 1979, Age and ageing.

[29]  R. Prichard.  Tumors of the heart; review of the subject and report of 150 cases. , 1951, A.M.A. archives of pathology.

[30]  R. G. Anderson,et al.  Paradoxical embolism. , 1946, British medical journal.