title: Unique cause of right hemispheric syndrome: Embolism of myocardium after open septal myectomy.
abstract: We present a novel case of acute ischemic stroke in the postoperative setting of open septal myectomy. A 24-year-old woman developed acute left hemiparesis and rightward eye deviation the morning after surgery. She underwent emergent endovascular stoke therapy by mechanical embolectomy with successful retrieval of a fragment of myocardium that was obstructing the right middle cerebral artery. To our knowledge there has been no previous case described of a myocardial fragment causing a proximal intracranial artery occlusion with resulting ischemia and infarction.
authors.affiliation: Department of Neurologic Surgery, Mayo Clinic, Rochester, USA murphy.meghan@mayo.edu.
authors.forename: Meghan E
authors.initials: ME
authors.lastname: Murphy
authors.affiliation: Department of Neurologic Surgery, Mayo Clinic, Rochester, USA.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Lanzino
authors.affiliation: Department of Pathology, Mayo Clinic, Rochester, USA.
authors.forename: Aditya
authors.initials: A
authors.lastname: Raghunathan
authors.affiliation: Department of Cardiovascular Surgery, Mayo Clinic, Rochester, USA.
authors.forename: Hartzell
authors.initials: H
authors.lastname: Schaff
authors.affiliation: Department of Neurology, Mayo Clinic, Rochester, USA.
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: Fugate
mesh_terms: D002421:Caudate Nucleus / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D017128:Embolectomy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D020766:Intracranial Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D009206:Myocardium / Q000473:pathology; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D011699:Putamen / Q000000981:diagnostic imaging; D020521:Stroke / Q000601:surgery; D014057:Tomography, X-Ray Computed; D055815:Young Adult
keywords: Cerebral ischemia; embolism; endovascular therapy; mechanical embolectomy; septal myectomy; stroke
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