title: [Management of ischemic strokes derived from intraventricular thrombi: report of two cases].
abstract: The origin of 20% of ischemic strokes is a left ventricular thrombus. We report two patients with strokes originating from cardiac thrombi, treated in two different ways. A 42-year-old diabetic man admitted with a left parietal and occipital stroke. An echocardiogram showed a left ventricular thrombus. The patient was subjected to a surgical cardiac revascularization procedure and left ventricular thrombectomy. The postoperative evolution was uneventful and the patient was discharged on oral anticoagulation. On ambulatory follow up, no neurological deterioration was evidenced. A 38-year-old male admitted with an acute ischemic stroke, was subjected to thrombolysis with human plasminogen activator. An echocardiogram showed a left ventricular thrombus, considered the cause of the stroke. The patient was anticoagulated with heparin and discharged ten days after admission with oral anticoagulation. A new echocardiogram performed one month later, did not show the left ventricular thrombus.
authors.forename: Gerardo
authors.initials: G
authors.lastname: Oberreuter
authors.forename: Natalia
authors.initials: N
authors.lastname: Silva
authors.forename: Sheila
authors.initials: S
authors.lastname: Caba
authors.forename: Marcelo
authors.initials: M
authors.lastname: Morales
authors.forename: Elena
authors.initials: E
authors.lastname: Nieto
authors.forename: Carlos
authors.initials: C
authors.lastname: Guevara
mesh_terms: D000328:Adult; D004452:Echocardiography; D006331:Heart Diseases / Q000150:complications*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D020521:Stroke / Q000209:etiology / Q000628:therapy*; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000150:complications*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome