Artículos de revistas
Ischemic stroke as the first manifestation of severe ventricular hypertrabeculation/non-compaction Derrame isquêmico como a primeira manifestação de hipertrabeculação/não-compactação ventricular grave
Fecha
2010Registro en:
Arquivos Brasileiros de Cardiologia, Volumen 94, Issue 3, 2018,
0066782X
16784170
10.1590/S0066-782X2010000300024
Autor
Jaramillo, Arturo
Ramírez, Alfredo
Galleguillos, Lorna
Vallejos, José
Illanes, Sergio
Institución
Resumen
A rare congenital myocardial defect, known as left ventricular hypertrabeculation/non-compaction (LVHT), has been occasionally described associated with thrombus formation with a potential systemic embolic risk, but its association with ischemic strokes remains controversial. We report a case of ischemic stroke in a patient with severe LVHT and ventricular dysfunction as a possible etiologic synergistic association. In absence of other embolic sources, a severe LVTH associated with ventricular dysfunction could constitute a potential source of brain embolism, especially in patients with high suspicion of an embolic mechanism of ischemic stroke.