Korean Journal of Critical Care Medicine  2016;31(1):39-43

doi:10.4266/kjccm.2016.31.1.39

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

Hyun Jung LEE ; Hack Lyoung KIM ; Doyeon HWANG ; Chan Soon PARK ; Jae Sung LIM ; Eungyu KANG ; Joo Hee ZO

Keywords

echocardiography; sepsis; stroke; thrombosis

Country

Republic 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.