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Updated: Apr 19, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
[Management of ischemic strokes derived from intraventricular thrombi: report of two cases]
Insights
Left ventricular thrombi can cause ischemic strokes. This study presents two cases of stroke due to cardiac thrombi, treated with either surgery or thrombolysis, demonstrating successful outcomes with both approaches.
Area of Science:
- Cardiology
- Neurology
- Vascular Medicine
Background:
- Left ventricular thrombus is a significant cause of ischemic stroke, accounting for 20% of cases.
- Cardiac thrombi can embolize to the brain, leading to cerebrovascular events.
Abstract:
The origin of 20% of ischemic strokes is a left ventricular thrombus. We report two patients with strokes originating from cardiac thrombi, treated in two different ways. A 42-year-old diabetic man admitted with a left parietal and occipital stroke. An echocardiogram showed a left ventricular thrombus. The patient was subjected to a surgical cardiac revascularization procedure and left ventricular thrombectomy. The postoperative evolution was uneventful and the patient was discharged on oral anticoagulation. On ambulatory follow up, no neurological deterioration was evidenced. A 38-year-old male admitted with an acute ischemic stroke, was subjected to thrombolysis with human plasminogen activator. An echocardiogram showed a left ventricular thrombus, considered the cause of the stroke. The patient was anticoagulated with heparin and discharged ten days after admission with oral anticoagulation. A new echocardiogram performed one month later, did not show the left ventricular thrombus.
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