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World J Radiol. Apr 28, 2023; 15(4): 98-117
Published online Apr 28, 2023. doi: 10.4329/wjr.v15.i4.98
Evaluation of causal heart diseases in cardioembolic stroke by cardiac computed tomography
Shu Yoshihara
Shu Yoshihara, Department of Diagnostic Radiology, Iwata City Hospital, Iwata 438-8550, Shizuoka, Japan
Author contributions: Yoshihara S made all of this manuscript and figures.
Conflict-of-interest statement: Shu Yoshihara does not have any conflict-of-interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shu Yoshihara, MD, PhD, Doctor, Department of Diagnostic Radiology, Iwata City Hospital, 512-3 Ookubo, Iwata 438-8550, Shizuoka, Japan. shuy@hospital.iwata.shizuoka.jp
Received: December 6, 2022
Peer-review started: December 6, 2022
First decision: March 1, 2023
Revised: March 8, 2023
Accepted: March 30, 2023
Article in press: March 30, 2023
Published online: April 28, 2023
Core Tip

Core Tip: Cardiac computed tomography (CCT) can detect the detailed visualization of causal heart disease in cardioembolic stroke. This review introduces the potential clinical applications of CCT in an ischemic stroke population, with a focus on diagnosing cardioembolic sources using CCT. Specifically, left atrial thrombus and associated pathologies, left ventricular thrombus and associated pathologies, intracardiac tumors, valvular abnormalities, and causal pathologies of paradoxical embolism are discussed.