A Change of Heart: Yield of Cardiac Imaging in Acute Stroke Workup

This case report describes a patient who experienced a recurrent ischemic stroke within 24 h. Dual-energy computed tomography (DECT) angiography on admission showed 2 intracardiac thrombi, 1 in the left ventricle and 1 in the left atrial appendage. Following the second ischemic event, repeated DECT...

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Autores principales: Kauw, Frans, Dankbaar, Jan W., Habets, Jesse, Cramer, Maarten J.M., de Jong, Hugo W.A.M., Velthuis, Birgitta K., Kappelle, L. Jaap
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6006656/
https://www.ncbi.nlm.nih.gov/pubmed/29928217
http://dx.doi.org/10.1159/000489254
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author Kauw, Frans
Dankbaar, Jan W.
Habets, Jesse
Cramer, Maarten J.M.
de Jong, Hugo W.A.M.
Velthuis, Birgitta K.
Kappelle, L. Jaap
author_facet Kauw, Frans
Dankbaar, Jan W.
Habets, Jesse
Cramer, Maarten J.M.
de Jong, Hugo W.A.M.
Velthuis, Birgitta K.
Kappelle, L. Jaap
author_sort Kauw, Frans
collection PubMed
description This case report describes a patient who experienced a recurrent ischemic stroke within 24 h. Dual-energy computed tomography (DECT) angiography on admission showed 2 intracardiac thrombi, 1 in the left ventricle and 1 in the left atrial appendage. Following the second ischemic event, repeated DECT angiography showed that the ventricular thrombus had considerably diminished, suggesting that the recurrent brain infarction was caused by cardioembolism. This case emphasizes (1) the potential benefit of cardiac evaluation through CT angiography in the acute stroke setting, and (2) the use of DECT angiography for the detection of thrombus and the differentiation between thrombus, the myocardial wall, and a slow flow of contrast.
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spelling pubmed-60066562018-06-20 A Change of Heart: Yield of Cardiac Imaging in Acute Stroke Workup Kauw, Frans Dankbaar, Jan W. Habets, Jesse Cramer, Maarten J.M. de Jong, Hugo W.A.M. Velthuis, Birgitta K. Kappelle, L. Jaap Case Rep Neurol Case Report This case report describes a patient who experienced a recurrent ischemic stroke within 24 h. Dual-energy computed tomography (DECT) angiography on admission showed 2 intracardiac thrombi, 1 in the left ventricle and 1 in the left atrial appendage. Following the second ischemic event, repeated DECT angiography showed that the ventricular thrombus had considerably diminished, suggesting that the recurrent brain infarction was caused by cardioembolism. This case emphasizes (1) the potential benefit of cardiac evaluation through CT angiography in the acute stroke setting, and (2) the use of DECT angiography for the detection of thrombus and the differentiation between thrombus, the myocardial wall, and a slow flow of contrast. S. Karger AG 2018-05-30 /pmc/articles/PMC6006656/ /pubmed/29928217 http://dx.doi.org/10.1159/000489254 Text en Copyright © 2018 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Case Report
Kauw, Frans
Dankbaar, Jan W.
Habets, Jesse
Cramer, Maarten J.M.
de Jong, Hugo W.A.M.
Velthuis, Birgitta K.
Kappelle, L. Jaap
A Change of Heart: Yield of Cardiac Imaging in Acute Stroke Workup
title A Change of Heart: Yield of Cardiac Imaging in Acute Stroke Workup
title_full A Change of Heart: Yield of Cardiac Imaging in Acute Stroke Workup
title_fullStr A Change of Heart: Yield of Cardiac Imaging in Acute Stroke Workup
title_full_unstemmed A Change of Heart: Yield of Cardiac Imaging in Acute Stroke Workup
title_short A Change of Heart: Yield of Cardiac Imaging in Acute Stroke Workup
title_sort change of heart: yield of cardiac imaging in acute stroke workup
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6006656/
https://www.ncbi.nlm.nih.gov/pubmed/29928217
http://dx.doi.org/10.1159/000489254
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