Key result
Repeated mechanical thrombectomy achieves successful reperfusion and short-term recovery in recurrent cardioembolic stroke.
Why the study?
Severe dilated cardiomyopathy with markedly reduced LVEF can rarely present as recurrent large-vessel occlusive stroke, and the role of mechanical thrombectomy and anticoagulation in this context requires illustration.
Case Report (n=1)
No
This case demonstrates that timely mechanical thrombectomy can achieve meaningful short-term neurological recovery in patients with severe heart failure and recurrent large-vessel occlusive strokes, highlighting the critical importance of anticoagulation adherence and psychosocial support for secondary prevention.
Supports feasibility of repeated thrombectomy in severe cardiomyopathy with recurrent stroke; hypothesis-generating and should not yet change practice.
Severe dilated cardiomyopathy with markedly reduced left ventricular ejection fraction can rarely present as recurrent large‐vessel occlusive stroke. This case demonstrates that timely mechanical thrombectomy and sustained anticoagulation are crucial for neurological recovery and secondary prevention, while HIV screening positivity adds complexity but should not independently preclude reperfusion therapy.
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Xu et al. (2026) conducted a case report in Severe dilated cardiomyopathy, recurrent large-vessel occlusive stroke, HIV screening positivity (n=1). Mechanical thrombectomy was evaluated. Repeated mechanical thrombectomy successfully achieved reperfusion and short-term neurological improvement in a patient with severe dilated cardiomyopathy and recurrent large-vessel occlusive stroke.
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