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Huge Left Ventricular Thrombus and Apical Ballooning associated with Recurrent Massive Strokes in a Septic Shock Patient

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초록

The most feared complication of left ventricular thrombus (LVT) is the occurrence of systemic thromboembolic events, especially in the brain. Herein, we report a patient with severe sepsis who suffered recurrent devastating embolic stroke. Transthoracic echocardiography revealed apical ballooning of the left ventricle with a huge LVT, which had not been observed in chest computed tomography before the stroke. This case emphasizes the importance of serial cardiac evaluation in patients with stroke and severe medical illness.

Abstract

The most feared complication of left ventricular thrombus (LVT) is the occurrence of systemic thromboembolic events, especially in the brain. Herein, we report a patient with severe sepsis who suffered recurrent devastating embolic stroke. Transthoracic echocardiography revealed apical ballooning of the left ventricle with a huge LVT, which had not been observed in chest computed tomography before the stroke. This case emphasizes the importance of serial cardiac evaluation in patients with stroke and severe medical illness.

참고문헌 (10)

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  4. Madias JE, "Why the current diagnostic criteria of Takotsubo syndrome are outmoded: a proposal for new criteria", Int J Cardiol, 174, pp.468~470 (2014)
  5. Pelliccia F, "Takotsubo syndrome (stress cardiomyopathy):an intriguing clinical condition in search of its identity", Am J Med, 127, pp.699~704 (2014)
  6. Antonucci E, "Myocardial depression in sepsis:from pathogenesis to clinical manifestations and treatment", J Crit Care, 29, pp.500~511 (2014)
  7. Singh K, "Meta-analysis of clinical correlates of acute mortality in takotsubo cardiomyopathy", Am J Cardiol, 113, pp.1420~1428 (2014)
  8. Y-Hassan S, "Sepsis-induced myocardial depression and takotsubo syndrome", Acute Card Care, 16, pp.102~109 (2014)
  9. Srichai MB, "Clinical, imaging, and pathological characteristics of left ventricular thrombus:a comparison of contrast-enhanced magnetic resonance imaging, transthoracic echocardiography, and transesophageal echocardiography with surgical or pathological validation", Am Heart J, 152, pp.75~84 (2006)
  10. Leurent G, "Cardiac MRI studies of transient left ventricular apical ballooning syndrome (takotsubo cardiomyopathy): a systematic review", Int J Cardiol, 135, pp.146~149 (2009)

관련 논문AI추천

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