Gradual introduction of anticoagulation with multidisciplinary monitoring can be a successful strategy for managing hemorrhagic cardioembolic stroke secondary to LV thrombus.
May support individualized anticoagulation in select LV thrombus cases with hemorrhage; leaves open need for prospective trials.
Cardiogenic embolism is a major cause of stroke and often leads to significant morbidity and mortality. Despite the recent advances in our understanding of the pathophysiology of stroke and its risk factors, diagnosis and therapy; some case scenarios still present a real challenge for the treating physicians. We report a case of a 50 year old male patient presenting with multi-territory cerebral infarctions due to a left ventricular mobile thrombus complicated with hemorrhagic transformation at the time of presentation. Gradual introduction of anticoagulation coupled with a multidisciplinary team approach advocating careful daily clinical assessment of the patient and regular echocardiographic and neuroimaging studies have resulted in a better management and achievement of therapeutic goals.
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Al‐Farsi et al. (2013) studied this question.
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