Muhammad Arsalan Ali, Muzafar Ali Surhio, Dr Abdullah Sarwar
Objective: This research work carried out to assess the diagnostic values of TEE (Transesophageal Echocardiography) and TTE (Transthoracic Echocardiography) in CECI (Cardiogenic Embolic Cerebral Infarction). Methodology: Total 50 patients suffering from cerebral infraction who got admission in Allied Hospitals, Rawalpindi from May 2018 to May 2019 were the part of this research work. The diagnosis of the patients carried out by TEE & TTE. We compared the diagnostic information to evaluate the values of both methods used for diagnosis. Results: We diagnosed 16 patients out of 50 patients as CECI by TEE method (32.0%), including 2 patients suffering from aortic plaques, 6 patients had atrial septal defect, 2 patients of atrial septal aneurysm, 2 patients of patent foramen ovale, only one patient of left atrial spontaneous echo-contrast, single patient of mitral prolapse and 2 patients suffering from mitral stenosis. We diagnosed 4 patients of CECI by TTE (8%), including one patient present with patent foramen ovale, 1 patient present with left atrial spontaneous echo-contrast, 1 patient mitral prolapse & one patient was present with mitral stenosis. The disparity was much significant statistically (P < 0.050). The most important disparity of TTE and TEE was the identification of aorta atheromatous plaques & atrial septal abrasions. The diagnosis by TTE missed the aortic atheromatous plaques of 2 patients and atrial septal abrasions of 8 patients. Conclusion: Diagnosis and identification of CECI with the TEE is very precise and beneficial. So, TEE is present with the worth promotion. KEYWORDS: Cardiogenic Embolic Cerebral Infarction, Mitral Stenosis, Transesophageal Echocardiography, Transthoracic Echocardiography, Prolapse, Echo-Contrast.