Left ventricular thrombus: an unusual cause of stroke.
An 8-year-old boy was admitted to the hospital with multiple abdominal and pelvic injuries following a motor vehicle accident. During hospitalization, signs of stroke developed. Evaluation discovered the cause to be emboli originating from a large left ventricular thrombus, most probably as a result of cardiac injury. Anticoagulation therapy was initiated, the cardiac mass resolved completely within 3 days, and neurologic status subsequently improved. When possible, echocardiography should be used as part of the workup of pediatric patients after multiple trauma, even without obvious signs of chest involvement.
Youngster
Ilan
I
Division of Pediatrics, Pediatric Intensive Care Unit, Assaf Harofeh Medical Center, Zerifin 70300, Israel. ilanyoungster@yahoo.com
Eshel
Gideon
G
Abu-kishak
Ibrahim
I
Heyman
Eli
E
Baram
Shaul
S
D000063:Accidents, Traffic; D000925:Anticoagulants / Q000627:therapeutic use; D002648:Child; D003937:Diagnosis, Differential; D004452:Echocardiography; D006335:Heart Injuries / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D020521:Stroke / Q000209:etiology*; D013927:Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging; D018487:Ventricular Dysfunction, Left / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology
D000925:Anticoagulants