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KMID : 0356920070520060702
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Korean Journal of Anesthesiology
2007 Volume.52 No. 6 p.702 ~ p.706
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Left Atrial Thrombus Diagnosed by Transesophageal Echocardiography Immediately after Induction in a Patient with Middle Cerebral Artery Infarction ?A case report?
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Song Jun-Gol
Hwang Gyu-Sam
Kim Young-Kug
Sung Seung-Hye
Choi In-Cheol
Hwang Jai-Hyun
Cho Sung-Kang
Han Sung-Min
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Abstract
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Stroke is one of the most common causes of death; in particular, cardiac source of embolism may be responsible for 15?20% of ischemic strokes. Here we report a case of left atrial thrombus diagnosed by transesophageal echocardiography (TEE) immediately after induction of general anesthesia in a patient with infarction of the middle cerebral artery. In this case, an emergent craniectomy was cancelled and medical treatment was performed. This case report shows that TEE taken in the operating room may play an important role in the change of treatment plan in a patient displaying acute mental change. (Korean J Anesthesiol 2007; 52: 702∼6)
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KEYWORD
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left atrial thrombus, middle cerebral artery infarction, transesophageal echocardiography
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