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Unusual non-valvular left ventricular endocarditis presenting as multiple brain embolism.

Aleksandar Redzek1,2, Andrej Preveden1,2, Svetlana Ruzicka Kaloci1,3

  • 1Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.

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Summary

A rare left ventricular mass caused neurological symptoms through brain embolism. Surgical removal and rehabilitation led to complete recovery, highlighting the importance of multidisciplinary care for intracardiac masses.

Keywords:
Heart tumorblood culture-negative endocarditisbrain embolismleft ventricular massmural endocarditisstroke

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Area of Science:

  • Cardiology
  • Neurology
  • Pathology

Background:

  • Intracardiac masses pose significant risks, including hemodynamic obstruction and embolization.
  • Neurological symptoms can arise from remote emboli originating from heart masses.

Observation:

  • A 35-year-old female presented with acute neurological deficits (right hemiparesis, dysarthria) due to multiple brain ischemic lesions.
  • Echocardiography revealed a left ventricular mass, initially suspected to be a tumor based on imaging.
  • Microscopic analysis identified endocardial inflammation with fibrin thrombi, not a primary tumor.

Findings:

  • The left ventricular mass, though appearing tumor-like on imaging, was diagnosed as non-specific endocardial inflammation with thrombi.
  • Prompt surgical intervention and subsequent rehabilitation resulted in complete neurological recovery.

Implications:

  • Intracardiac masses, even those mimicking tumors, can cause severe embolic events.
  • Accurate diagnosis of intracardiac masses requires definitive microscopic analysis.
  • Successful management of intracardiac masses relies on a multidisciplinary approach and timely intervention.