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Diagnosis of Loeffler Endocarditis in a Patient with a Cerebrovascular Event

Mert Doğan1, Uğur Nadir Karakulak1

  • 1Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara, Türkiye.

Turk Kardiyoloji Dernegi Arsivi : Turk Kardiyoloji Derneginin Yayin Organidir
|July 8, 2025
PubMed

Insights

Left ventricular thrombi can cause stroke. This case report details a 76-year-old female patient with a left ventricular apex thrombus, highlighting diagnostic methods and considering Loeffler endocarditis.

Area of Science:

  • Cardiology
  • Neurology
  • Internal Medicine

Background:

  • Cardiac embolic origin is a major cause of stroke.
  • Left ventricular thrombi are associated with various underlying conditions.
  • Prompt diagnosis and management are crucial for stroke patients.

Purpose of the Study:

  • To report a case of left ventricular apical thrombus in a 76-year-old female patient.
  • To comprehensively analyze the clinical, laboratory, and multimodality imaging findings.
  • To discuss the diagnostic approach to Loeffler endocarditis as a differential diagnosis.

Main Methods:

  • Case report presentation.
  • Review of clinical data and laboratory results.
  • Multimodality imaging techniques (e.g., echocardiography, cardiac MRI).

Main Results:

  • Identification of a thrombus in the left ventricular apex.
  • Detailed characterization of the thrombus and associated cardiac findings.
  • Evaluation of potential etiologies and differential diagnoses, including Loeffler endocarditis.

Conclusions:

  • Left ventricular thrombi are a significant cause of embolic stroke.
  • Multimodality imaging is essential for diagnosing left ventricular thrombi.
  • Loeffler endocarditis should be considered in the differential diagnosis of cardiac thrombi.

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