Cardioembolic stroke followed by isolated celiac artery thromboembolism.
A 78-year-old man with Parkinson's disease, paroxysmal atrial fibrillation, and congestive heart failure was admitted to our hospital due to global aphasia and right-sided hemiparesis. A cardioembolic stroke from a left ventricular thrombus was diagnosed; several days later, anticoagulants were started. On the seventh day, the patient suddenly developed severe acidosis and kidney and liver dysfunction. He died the following afternoon. Autopsy revealed an isolated celiac artery embolism from the left ventricular thrombus. This is the first reported case of isolated celiac artery embolism occurring after acute ischemic stroke.
Tanaka
Yuko
Y
Department of Medicine, Kumamoto Rosai Hospital, Yatsushiro. u-kopin@med.uoeh-u.ac.jp
Nakajima
Makoto
M
Hirano
Teruyuki
T
Uchino
Makoto
M
D000138:Acidosis / Q000209:etiology; D000368:Aged; D001281:Atrial Fibrillation / Q000150:complications; D002445:Celiac Artery; D017809:Fatal Outcome; D006331:Heart Diseases / Q000209:etiology*; D006333:Heart Failure / Q000150:complications; D006352:Heart Ventricles; D048550:Hepatic Insufficiency / Q000209:etiology; D006801:Humans; D008297:Male; D020734:Parkinsonian Disorders / Q000150:complications; D051437:Renal Insufficiency / Q000209:etiology; D020521:Stroke / Q000209:etiology*; D013923:Thromboembolism / Q000209:etiology*; D013927:Thrombosis / Q000209:etiology*