Huge Left Ventricular Thrombus and Apical Ballooning associated with Recurrent Massive Strokes in a Septic Shock Patient
10.4266/kjccm.2016.31.1.39
- Author:
Hyun Jung LEE
1
;
Hack Lyoung KIM
;
Doyeon HWANG
;
Chan Soon PARK
;
Jae Sung LIM
;
Eungyu KANG
;
Joo Hee ZO
Author Information
1. Department of Internal Medicine, Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea. khl2876@gmail.com
- Publication Type:Case Report
- Keywords:
echocardiography;
sepsis;
stroke;
thrombosis
- MeSH:
Brain;
Echocardiography;
Heart Ventricles;
Humans;
Sepsis;
Shock, Septic;
Stroke;
Thorax;
Thrombosis
- From:The Korean Journal of Critical Care Medicine
2016;31(1):39-43
- CountryRepublic of Korea
- Language:English
-
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.
