The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.
Atrial septal aneurysm and patent foramen ovale as risk factors for cryptogenic stroke in patients less than 55 years of age. A study using transesophageal echocardiography.
Abstract
An association between atrial septal aneurysm and embolic events has been suggested. Atrial septal aneurysm has been shown to be associated with patent foramen ovale and, in some reports, with mitral valve prolapse. These two latter cardiac disorders have been identified as potential risk factors for ischemic stroke. The aim of this prospective study was to assess the role of atrial septal aneurysm as an independent risk factor for stroke, especially for cryptogenic stroke. We studied the prevalence of atrial septal aneurysm, patent foramen ovale, and mitral valve prolapse in 100 consecutive patients < 55 years of age with ischemic stroke who underwent extensive etiological investigations. We compared these results with those in a control group of 50 consecutive patients. The diagnosis of atrial septal aneurysm and patent foramen ovale relied on transesophageal echocardiography with a contrast study and that of mitral valve prolapse, on two-dimensional transthoracic echocardiography. Stepwise logistic regression analysis showed that atrial septal aneurysm (odds ratio, 4.3; 95% confidence interval, 1.3 to 14.6; P = .01) and patent foramen ovale (odds ratio, 3.9; 95% confidence interval, 1.5 to 10; P = .003) but not mitral valve prolapse were significantly associated with the diagnosis of cryptogenic stroke. The stroke odds of a patient with both atrial septal aneurysm and patent foramen ovale were 33.3 times (95% confidence interval, 4.1 to 270) the stroke odds of a patient with neither of these cardiac disorders. For a patient with atrial septal aneurysm of > 10-mm excursion, the stroke odds were approximately 8 times the stroke odds of a patient with atrial septal aneurysm of < 10 mm. This study shows that atrial septal aneurysm and patent foramen ovale are both significantly associated with cryptogenic stroke and that their association has a marked synergistic effect. Atrial septal aneurysms of > 10-mm excursion are associated with a higher risk of stroke.
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Citations
Cites
Prevalence of Patent Foramen Ovale in Patients with Stroke
Lechat, P., Mas, J. L., Lascault, G., Loron, P., Theard, M., Klimczac, M., Drobinski, G., Thomas, D., & Grosgogeat, Y. (1988) · New England Journal of Medicine · doi:10.1056/nejm198805053181802 · Cited by 1,657
Self-citationPATENT FORAMEN OVALE IN YOUNG STROKE PATIENTS
Webster, M. W. I., Smith, H. J., Sharpe, D. N., Chancellor, A. M., Swift, D. L., Bass, N. M., & Glasgow, G. L. (1988) · The Lancet · doi:10.1016/s0140-6736(88)92944-3 · Cited by 823
Patent Foramen Ovale as a Risk Factor for Cryptogenic Stroke
Di Tullio, M., Sacco, R. L., Gopal, A., Mohr, J. P., & Homma, S. (1992) · Annals of Internal Medicine · doi:10.7326/0003-4819-117-6-461 · Cited by 600
Pearson, A. C., Labovitz, A. J., Tatineni, S., & Gomez, C. R. (1991) · Journal of the American College of Cardiology · doi:10.1016/0735-1097(91)90705-e · Cited by 570
Atrial septal aneurysm and stroke: A transesophageal echocardiographic study
Pearson, A. C., Nagelhout, D. A., Castelló, R., Gomez, C., & Labovitz, A. J. (1991) · Journal of the American College of Cardiology · doi:10.1016/0735-1097(91)90539-l · Cited by 394
Further Evidence Relating Mitral-Valve Prolapse to Cerebral Ischemic Events
Barnett, H. J. M., Boughner, D. R., Taylor, D. W., Cooper, P. E., Kostuk, W. J., & Nichol, P. M. (1980) · New England Journal of Medicine · doi:10.1056/nejm198001173020303 · Cited by 346
Levine, R. A., Stathogiannis, E., Newell, J. B., Harrigan, P., & Weyman, A. E. (1988) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(98)90059-6 · Cited by 315
Schneider, B., Hanrath, P., Vogel, P. M., & Meinertz, T. (1990) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(10)80354-7 · Cited by 203
Cardiogenic embolism to the brain
Hart, R. G. (1992) · The Lancet · doi:10.1016/0140-6736(92)90873-2 · Cited by 171
Cited by
Kernan, W. N., Ovbiagele, B., Black, H. R., Bravata, D. M., Chimowitz, M. I., Ezekowitz, M. D., Fang, M. C., Fisher, M., Furie, K. L., Heck, D. V., et al. (2014) · Stroke · doi:10.1161/str.0000000000000024 · Cited by 5,170
Sacco, R. L., Adams, R., Albers, G., Alberts, M. J., Benavente, O., Furie, K., Goldstein, L. B., Gorelick, P., Halperin, J., Harbaugh, R., et al. (2006) · Stroke · doi:10.1161/01.str.0000199147.30016.74 · Cited by 1,873
Mas, J.-L., Arquizan, C., Lamy, C., Zuber, M., Cabanes, L., Derumeaux, G., & Coste, J. (2001) · New England Journal of Medicine · doi:10.1056/nejmoa011503 · Cited by 1,361
Self-citationInteratrial septal abnormalities and stroke: A meta-analysis of case-control studies
Overell, J. R., Bone, I., & Lees, K. R. (2000) · Neurology · doi:10.1212/wnl.55.8.1172 · Cited by 936
Sloan, M. A., Alexandrov, A. V., Tegeler, C. H., Spencer, M. P., Caplan, L. R., Feldmann, E., Wechsler, L. R., Newell, D. W., Gomez, C. R., Babikian, V. L., et al. (2004) · Neurology · doi:10.1212/wnl.62.9.1468 · Cited by 517
Metadata
- Authors
- Cabanes, L., Mas, J. L., Cohen, A., Amarenco, P., Cabanes, P. A., Oubary, P., Chedru, F., Guérin, F., Bousser, M. G., & de Recondo, J.
- Venue
- Stroke
- Published
- 1993-12
- Volume
- 24
- Issue
- 12
- Pages
- 1865-1873
- ISSN
- 0039-2499 (ISSN-L)
- 1524-4628
- OpenAlex
- W2010050468
- Cited by
- 572
- References
- 9
- FWCI
- 6.53
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Atrial septal aneurysm and patent foramen ovale as risk factors for cryptogenic stroke in patients less than 55 years of age. A study using transesophageal echocardiography. https://app.cochat.ai/papers/10.1161/01.str.24.12.1865
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- Cabanes, L., Mas, J. L., Cohen, A., Amarenco, P., Cabanes, P. A., Oubary, P., Chedru, F., Guérin, F., Bousser, M. G., & de Recondo, J. (1993). Atrial septal aneurysm and patent foramen ovale as risk factors for cryptogenic stroke in patients less than 55 years of age. A study using transesophageal echocardiography. Stroke. https://doi.org/10.1161/01.str.24.12.1865
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