Unilateral Cardioembolic Stroke in a Patient With Aortic Arch Anomaly

A. Maleki, R. Shahripour, A. Wilner
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引用次数: 0

Abstract

A human immunodeficiency virus (HIV)-positive 29-year-old man presented with pre-syncope and acute left hemispheric infarction in multiple vascular territories. Thorax computed tomography (CT) with contrast showed bovine aortic arch and a left atrium large mass. On transthoracic echo, a 2.1 × 2.6 cm mass pointed to the heart as the embolic source. Successful surgical resection revealed cardiac myxoma. Although this presentation mimicked artery to artery embolization but having a bovine aortic arch can contribute to this stroke propensity to the left hemisphere. J Neurol Res. 2020;10(3):95-98 doi: https://doi.org/10.14740/jnr584
主动脉弓异常患者的单侧心栓塞性卒中
人类免疫缺陷病毒(HIV)阳性的29岁男性表现为晕厥前期和急性左半球多血管区域梗死。胸部计算机断层扫描(CT)显示牛主动脉弓和左心房大肿块。经胸回声显示,一个2.1 × 2.6 cm的肿块指向心脏为栓塞源。手术成功切除发现心脏黏液瘤。虽然这种表现模仿了动脉到动脉的栓塞,但是有一个牛主动脉弓会导致中风倾向于左半球。中华神经科学杂志,2020;10(3):95-98 doi: https://doi.org/10.14740/jnr584
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