Objective: We analyzed the usefulness of transesophageal echocardiography (TEE) for detection of cardiac diseases in patients with retinal artery occlusion (RAO).
Patients And Methods: We retrospectively reviewed the charts of 22 consecutive patients with acute RAO. The patients had been evaluated by conventional studies, including transthoracic echocardiography (TTE) and TEE.
Results: TEE findings were abnormal in 13 (59%) of the 22 patients. The findings revealed a decrease of flow velocity in the left atrial appendage (n=7), atrial septal aneurysm (n=4), patent foramen ovale (n=2), spontaneous echo contrast (n=1), ascending aortic plaque (n=1) and left atrial thrombus (n=1). Evaluations, including TEE, disclosed cardiac abnormalities in 16 (73%) of these 22 patients. However, excluding the analysis by TEE, cardiac abnormalities were revealed in only 6 (27%) patients.
Conclusion: In patients with RAO, TEE may be a useful examination for detecting potential cardiac diseases.
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| http://dx.doi.org/10.2169/internalmedicine.40.475 | DOI Listing |
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