Left ventricular thrombus: an unusual cause of stroke.

Youngster, Ilan; Eshel, Gideon; Abu-kishak, Ibrahim; Heyman, Eli; Baram, Shaul · Chest · 2007

case_report · Level V

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Abstract

An 8-year-old boy was admitted to the hospital with multiple abdominal and pelvic injuries following a motor vehicle accident. During hospitalization, signs of stroke developed. Evaluation discovered the cause to be emboli originating from a large left ventricular thrombus, most probably as a result of cardiac injury. Anticoagulation therapy was initiated, the cardiac mass resolved completely within 3 days, and neurologic status subsequently improved. When possible, echocardiography should be used as part of the workup of pediatric patients after multiple trauma, even without obvious signs of chest involvement.

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