Abstract
CEREBRAL INFARCTION as a result of emboli originating from the left side of the heart is a well-known pathologic process. In addition, the risk of developing a right atrial thrombus from an indwelling central venous catheter for hemodialysis exists.1 A patient is presented with multiple embolic infarctions in her left hemisphere as the result of a right atrial thrombus coexisting with multiple atrial septal defects, a situation diagnosed only with a Valsalva maneuver during transesophageal echocardiography.
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