Author/Authors :
Lee, Hyun-Jung Department of Internal Medicine - Boramae Medical Center - Seoul National University College of Medicine - Seoul, Korea , Kim, Hack-Lyoung Department of Internal Medicine - Boramae Medical Center - Seoul National University College of Medicine - Seoul, Korea , Hwang, Doyeon Department of Internal Medicine - Boramae Medical Center - Seoul National University College of Medicine - Seoul, Korea , Park, Chan-Soon Department of Internal Medicine - Boramae Medical Center - Seoul National University College of Medicine - Seoul, Korea , Lim, Jae-Sung Department of Neurology - Boramae Medical Center - Seoul National University College of Medicine - Seoul, Korea , Kang, EunGyu Department of Internal Medicine - Hongik Hospital - Seoul, Korea , Zo, Joo-Hee Department of Internal Medicine - Boramae Medical Center - Seoul National University College of Medicine - Seoul, Korea
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.
Keywords :
echocardiography , sepsis , stroke , thrombosis
