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Left Ventricular Thrombus*: An Unusual Cause of Stroke

Ilan Youngster, MD; Gideon Eshel, MD; Ibrahim Abu-kishak, MD; Eli Heyman, MD; Shaul Baram, MD
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*From the Division of Pediatrics (Dr. Youngster), Pediatric Intensive Care Unit (Drs. Eshel and Abu-kishak), Pediatric Neurology and Rehabilitation Unit (Dr. Heyman), Pediatric Cardiology Unit (Dr. Baram), Assaf Harofeh Medical Center, Zerifin, Israel.

Correspondence to: Ilan Youngster, MD, Division of Pediatrics, Assaf Harofeh Medical Center, Zerifin 70300, Israel; e-mail: ilanyoungster@yahoo.com



Chest. 2007;132(5):1659-1661. doi:10.1378/chest.07-0698
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An 8-year-old boy was admitted to the hospital with multiple abdominal and pelvic injuries following a motor vehicle accident. During hospitalization, signs of stroke developed. Evaluation discovered the cause to be emboli originating from a large left ventricular thrombus, most probably as a result of cardiac injury. Anticoagulation therapy was initiated, the cardiac mass resolved completely within 3 days, and neurologic status subsequently improved. When possible, echocardiography should be used as part of the workup of pediatric patients after multiple trauma, even without obvious signs of chest involvement.

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