Recent reports suggest aortoembolism is an important cause of @entity64 . Although transesophageal echocardiography visualizes the aortic arch, diagnosis of @entity64 is not common. We investigated reasons for this discrepancy at our institution. We reviewed charts and transesophageal echocardiography videotapes of 16 @entity1 with recent @entity385 or transient @entity63 attack who had undergone transesophageal echocardiography. For each @entity1 , we determined the most likely cause of @entity2806 , and we compared the official transesophageal echocardiography report to our interpretation of the videotape. In our videotape review, 13 @entity1 had good visualization of the aortic arch. Of 6 @entity1 with @entity731 in the arch, 1 had high-grade carotid stenosis, 1 had @entity955 , 1 had " @entity6249 ," and 3 had @entity2806 of unknown cause. The official reports did not mention @entity2333 in 4 of 6 @entity1 . A possible cause of @entity2806 was identified in 6 of 7 @entity1 with normal aortic arches. Of 3 @entity1 who had poor visualization of the aortic arch, one had " @entity6249 ," and 2 had @entity385 of unknown cause despite extensive workups. We conclude that @entity2333 is common in @entity1 with @entity385 and transient @entity63 attack and may be a cause of @entity2806 , especially in @entity1 with @entity64 or transient @entity63 attack due to @entity432 or of unknown cause. @entity2333 may not be identified as the cause of @entity64 or transient @entity63 attack because (a) transesophageal echocardiography is not done, (b) transesophageal echocardiography is done but the aortic arch is not visualized, (c) transesophageal echocardiography is done, the aortic arch is visualized, but the examiner does not comment on @entity2333 , or (d) despite transesophageal echocardiography identification of arotic arch disease, the treating physician does not consider the aorta to be a potential source of embolization.

Problems in the recognition of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity64 :: ('MESH:D020521', 'Disease') :: ['aortoembolism stroke', 'stroke'] @entity2806 :: ('MESH:D002545', 'Disease') :: ['cerebral ischemia'] @entity63 :: ('MESH:D007511', 'Disease') :: ['ischemic'] @entity6249 :: ('MESH:D059345', 'Disease') :: ['small-vessel disease'] @entity432 :: ('MESH:D001157', 'Disease') :: ['small-vessel occlusion'] @entity955 :: ('MESH:D001281', 'Disease') :: ['atrial fibrillation'] @entity2333 :: ('MESH:D001018', 'Disease') :: ['aortic arch disease', 'Aortic arch disease'] @entity731 :: ('MESH:D050197', 'Disease') :: ['atherosclerosis'] @entity385 :: ('MESH:D002544', 'Disease') :: ['ischemic stroke']
@entity64 :: (MESH:D020521,Disease) :: ['aortoembolic stroke']
