RESUMO
Two days after coronary artery bypass, a 75-year-old woman had sudden dense left-sided hemiplegia. A transthoracic echocardiogram showed a suspicious mass in the right atrium and right ventricle, which was confirmed by transesophageal echocardiography. Transesophageal echocardiography further demonstrated an elongated mass across a patent foramen ovale. Deep femoral venous thrombosis and massive cerebral infarction were also noted by Doppler ultrasonography and head computed tomographic scanning, respectively. Paradoxical embolization was thought to be the cause of the stroke.
Assuntos
Infarto Cerebral/etiologia , Ecocardiografia Transesofagiana , Comunicação Interatrial/diagnóstico por imagem , Tromboembolia/diagnóstico por imagem , Idoso , Infarto Cerebral/diagnóstico por imagem , Ponte de Artéria Coronária , Feminino , Veia Femoral , Humanos , Complicações Pós-Operatórias , Tromboembolia/complicações , Trombose/complicações , Trombose/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Ultrassonografia DopplerRESUMO
A 25-year-old man presented with sudden onset right-sided hemiplegia. Transthoracic and transesophageal echocardiograms demonstrated a mobile mass attached to the anterior mitral leaflet. The mass was, however, not found at operation.
