Cerebral and coronary embolization of a valvular tumor.
Stroke and myocardial infarction are not commonly seen in children; the occurrence of both conditions in the same well child is unusual. Undifferentiated cardiac tumors are rarely encountered in the pediatric population. We present a case of stroke and myocardial infarction as a consequence of an undifferentiated valvular tumor in a previously healthy child. This case emphasizes the critical importance of serial clinical examinations as part of a complete stroke workup. It suggests the need for additional research on the use of thrombolytic therapy for pediatric cerebral and myocardial infarction and stresses individualization of cardiac tumor treatment plans.
Mull
C C
CC
Division of Emergency Medicine, Alfred I. duPont Hospital for Children, Wilmington, DE 19899, USA.
Dahdah
N S
NS
Scarfone
R J
RJ
D000925:Anticoagulants / Q000627:therapeutic use; D002648:Child; D004562:Electrocardiography; D005260:Female; D006338:Heart Neoplasms / Q000150:complications* / Q000601:surgery; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D020766:Intracranial Embolism / Q000209:etiology*; D008943:Mitral Valve; D009203:Myocardial Infarction / Q000188:drug therapy / Q000209:etiology*; D020521:Stroke / Q000209:etiology
D000925:Anticoagulants; D006493:Heparin