Ischemic stroke as the first manifestation of severe ventricular hypertrabeculation/non-compaction

A rare congenital myocardial defect, known as left ventricular hypertrabeculation/non-compaction (LVHT), has been occasionally described associated with thrombus formation with a potential systemic embolic risk, but its association with ischemic strokes remains controversial. We report a case of isc...

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Bibliographic Details
Published in:Arquivos brasileiros de cardiologia 2010-03, Vol.94 (3), p.e28-e30
Main Authors: Jaramillo, Arturo, Ramírez, Alfredo, Galleguillos, Lorna, Vallejos, José, Illanes, Sergio
Format: Article
Language:eng ; por
Subjects:
Brain Ischemia - etiology
Humans
Hypertrophy, Left Ventricular - complications
Hypertrophy, Left Ventricular - diagnostic imaging
Intracranial Embolism - etiology
Male
Middle Aged
Stroke - etiology
Ultrasonography
Ventricular Dysfunction, Left - complications
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Summary:A rare congenital myocardial defect, known as left ventricular hypertrabeculation/non-compaction (LVHT), has been occasionally described associated with thrombus formation with a potential systemic embolic risk, but its association with ischemic strokes remains controversial. We report a case of ischemic stroke in a patient with severe LVHT and ventricular dysfunction as a possible etiologic synergistic association. In absence of other embolic sources, a severe LVTH associated with ventricular dysfunction could constitute a potential source of brain embolism, especially in patients with high suspicion of an embolic mechanism of ischemic stroke.
ISSN:1678-4170