A Change of Heart: Yield of Cardiac Imaging in Acute Stroke Workup
This case report describes a patient who experienced a recurrent ischemic stroke within 24 h. Dual-energy computed tomography (DECT) angiography on admission showed 2 intracardiac thrombi, 1 in the left ventricle and 1 in the left atrial appendage. Following the second ischemic event, repeated DECT...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2018-05-01
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| Series: | Case Reports in Neurology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/489254 |
| _version_ | 1828389119724617728 |
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| author | Frans Kauw Jan W. Dankbaar Jesse Habets Maarten J.M. Cramer Hugo W.A.M. de Jong Birgitta K. Velthuis L. Jaap Kappelle |
| author_facet | Frans Kauw Jan W. Dankbaar Jesse Habets Maarten J.M. Cramer Hugo W.A.M. de Jong Birgitta K. Velthuis L. Jaap Kappelle |
| author_sort | Frans Kauw |
| collection | DOAJ |
| description | This case report describes a patient who experienced a recurrent ischemic stroke within 24 h. Dual-energy computed tomography (DECT) angiography on admission showed 2 intracardiac thrombi, 1 in the left ventricle and 1 in the left atrial appendage. Following the second ischemic event, repeated DECT angiography showed that the ventricular thrombus had considerably diminished, suggesting that the recurrent brain infarction was caused by cardioembolism. This case emphasizes (1) the potential benefit of cardiac evaluation through CT angiography in the acute stroke setting, and (2) the use of DECT angiography for the detection of thrombus and the differentiation between thrombus, the myocardial wall, and a slow flow of contrast. |
| first_indexed | 2024-12-10T06:24:33Z |
| format | Article |
| id | doaj.art-637520088e9b4e789305e5017f95acea |
| institution | Directory Open Access Journal |
| issn | 1662-680X |
| language | English |
| last_indexed | 2024-12-10T06:24:33Z |
| publishDate | 2018-05-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Neurology |
| spelling | doaj.art-637520088e9b4e789305e5017f95acea2022-12-22T01:59:14ZengKarger PublishersCase Reports in Neurology1662-680X2018-05-0110211812310.1159/000489254489254A Change of Heart: Yield of Cardiac Imaging in Acute Stroke WorkupFrans KauwJan W. DankbaarJesse HabetsMaarten J.M. CramerHugo W.A.M. de JongBirgitta K. VelthuisL. Jaap KappelleThis case report describes a patient who experienced a recurrent ischemic stroke within 24 h. Dual-energy computed tomography (DECT) angiography on admission showed 2 intracardiac thrombi, 1 in the left ventricle and 1 in the left atrial appendage. Following the second ischemic event, repeated DECT angiography showed that the ventricular thrombus had considerably diminished, suggesting that the recurrent brain infarction was caused by cardioembolism. This case emphasizes (1) the potential benefit of cardiac evaluation through CT angiography in the acute stroke setting, and (2) the use of DECT angiography for the detection of thrombus and the differentiation between thrombus, the myocardial wall, and a slow flow of contrast.https://www.karger.com/Article/FullText/489254Ischemic strokeComputed tomography angiographyDual-energy computed tomographyRecurrent strokeCardioembolic strokeAcute stroke imaging |
| spellingShingle | Frans Kauw Jan W. Dankbaar Jesse Habets Maarten J.M. Cramer Hugo W.A.M. de Jong Birgitta K. Velthuis L. Jaap Kappelle A Change of Heart: Yield of Cardiac Imaging in Acute Stroke Workup Case Reports in Neurology Ischemic stroke Computed tomography angiography Dual-energy computed tomography Recurrent stroke Cardioembolic stroke Acute stroke imaging |
| title | A Change of Heart: Yield of Cardiac Imaging in Acute Stroke Workup |
| title_full | A Change of Heart: Yield of Cardiac Imaging in Acute Stroke Workup |
| title_fullStr | A Change of Heart: Yield of Cardiac Imaging in Acute Stroke Workup |
| title_full_unstemmed | A Change of Heart: Yield of Cardiac Imaging in Acute Stroke Workup |
| title_short | A Change of Heart: Yield of Cardiac Imaging in Acute Stroke Workup |
| title_sort | change of heart yield of cardiac imaging in acute stroke workup |
| topic | Ischemic stroke Computed tomography angiography Dual-energy computed tomography Recurrent stroke Cardioembolic stroke Acute stroke imaging |
| url | https://www.karger.com/Article/FullText/489254 |
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