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KMID : 0604020160310010039
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Korean Journal of Critical Care Medicine
2016 Volume.31 No. 1 p.39 ~ p.43
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Huge Left Ventricular Thrombus and Apical Ballooning associated with Recurrent Massive Strokes in a Septic Shock Patient
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Lee Hyun-Jung
Kim Hack-Lyoung
Hwang Do-Yeon
Park Chan-Soon
Lim Jae-Sung
Kang Eun-Gyu
Zo Joo-Hee
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Abstract
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The most feared complication of left ventricular thrombus (LVT) is the occurrence of systemic thromboembolic events, especially in the brain. Herein, we report a patient with severe sepsis who suffered recurrent devastating embolic stroke. Transthoracic echocardiography revealed apical ballooning of the left ventricle with a huge LVT, which had not been observed in chest computed tomography before the stroke. This case emphasizes the importance of serial cardiac evaluation in patients with stroke and severe medical illness.
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KEYWORD
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echocardiography, sepsis, stroke, thrombosis
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