title: The Clot Strikes Thrice: Case Report of a Patient with 3 Concurrent Embolic events.
abstract: OBJECTIVE
  Concurrent cerebral and systemic embolism are unusual occurrences. Acute myocardial infarction secondary to coronary embolism are particularly rare with only isolated reports in the literature.
  
  
  METHODS
  A 49-year old Chinese man presented with right posterior cerebral artery infarction to our hospital. He developed chest pain and ST-elevation on ECG the next morning. Urgent cardiac catheterization showed a right coronary artery as well as a right profunda femoris artery occlusion. The cause of these 3 concurrent emboli was a large mobile left ventricular thrombus seen on echocardiography. Urgent anticoagulation was initiated, and the patient returned home after 1 month of rehabilitation with no further ischemic events.
  
  
  CONCLUSIONS
  In selected patients with high embolic risks, urgent anticoagulation after acute ischemic stroke can be a possible treatment option.
authors.affiliation: National Neuroscience Institute, Singapore General Hospital Campus, Singapore.
authors.forename: Chee-Keong
authors.initials: CK
authors.lastname: Wee
authors.affiliation: National Neuroscience Institute, Singapore General Hospital Campus, Singapore.
authors.forename: Tushar
authors.initials: T
authors.lastname: Divakar Gosavi1
authors.affiliation: National Heart Centre Singapore.
authors.forename: Weiting
authors.initials: W
authors.lastname: Huang
mesh_terms: D002545:Brain Ischemia / Q000209:etiology*; D004452:Echocardiography; D006331:Heart Diseases / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D020521:Stroke / Q000209:etiology*; D013927:Thrombosis / Q000150:complications*