An Unusual Cause of Stroke—the Importance of Saline Contrast Echocardiography
- 1 September 2008
- journal article
- case report
- Published by Wiley in Echocardiography
- Vol. 25 (8), 908-910
- https://doi.org/10.1111/j.1540-8175.2008.00706.x
Abstract
We report a case of a 38-year-old man who presented with a cryptogenic stroke in whom a persistent left superior vena cava (PLSVC) to the left atrium was established as an isolated anomaly by both echocardiography and magnetic resonance angiography. This rare cardiac abnormality creates a systemic right to left shunt and the potential for cerebral abscess or infarction. Echocardiographic diagnosis may be missed unless intravenous saline contrast is performed using a left upper extremity vein.Keywords
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