Hemorrhagic cardioembolic stroke secondary to a left ventricular trombus: A terapeutic dilemma

Khalil Al-Farsi, Aftab A. Siddiqui, Yasser W. Sharef, Ali K. Al-Belushi, Hakeem Al-Hashim, Mohammed Al-Ghailani, William J. Johnston

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Cardiogenic embolism is a major cause of stroke and often leads to signifcant morbidity and mortality. Despite the recent advances in our understanding of the pathophysiology of stroke and its risk factors, diagnosis and therapy; some case scenarios still present a real challenge for the treating physicians. We report a case of a 50 year old male patient presenting with multi-territory cerebral infarctions due to a left ventricular mobile thrombus complicated with hemorrhagic transformation at the time of presentation. Gradual introduction of anticoagulation coupled with a multidisciplinary team approach advocating careful daily clinical assessment of the patient and regular echocardiographic and neuroimaging studies have resulted in a better management and achievement of therapeutic goals.

Original languageEnglish
Pages (from-to)56-59
Number of pages4
JournalOman Medical Journal
Volume28
Issue number1
DOIs
Publication statusPublished - 2013

Keywords

  • Cardioembolism
  • Echocardiography
  • Hemorrhagic transformation
  • Mobile thrombus
  • Multidisciplinary approach
  • Stroke

ASJC Scopus subject areas

  • Medicine(all)

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