[Non-hemorrhagic stroke, of possible aortoembolic origin, in the course of acute myocardial infarct treated with thrombolysis]. / Stroke non emorragico, di possibile origine aortoembolica, in corso di infarto miocardico acuto trattato con trombolisi.

We describe the case of a middle-aged man with nonhemorrhagic stroke occurred during thrombolysis for acute myocardial infarction. The ischemic etiology of stroke was demonstrated by cerebral computed tomography scan. Transthoracic echocardiogram excluded left ventricular thrombosis. Transesophageal echocardiogram displayed complicated atheromas of the aortic arch. The reported case emphasizes that aortic atheromas may be the source of emboli during thrombolytic therapy.

[Concomitant left atrial myxoma and atrial fibrillation in patients with peripheral embolism]. / Concomitanza di mixoma atriale sinistro e fibrillazione atriale in pazienti con embolia periferica.

In the present article, 2 cases of left atrial myxoma and peripheral embolism in patients with concomitant paroxysmal or permanent atrial fibrillation are reported. In both cases, the embolic event was considered to be related to atrial fibrillation and the diagnosis of atrial myxoma was established later on at echocardiography. In view of the above, transesophageal echocardiography should be always performed after an embolic event, even in patients with established atrial fibrillation.