Abstract
A 47-year old man with HIV presented with a stroke. Imaging revealed a large mobile left-ventricular thrombus. The mass was resected using a small ventriculotomy with good early postoperative prognosis. Thrombus etiology is likely related to HIV pathology.
Highlights
LV thrombi typically occur in the case of impaired LV dysfunction as a result of dilated cardiomyopathy, aneurysm or a myocardial infarction [1]
Case presentation A 47-year old man with HIV presented with a stroke
An echo revealed a 5.4 × 2.3 cm smooth, highly mobile surfaced mass to be adherent to the left ventricular apex (Figure 1)
Summary
LV thrombi typically occur in the case of impaired LV dysfunction as a result of dilated cardiomyopathy, aneurysm or a myocardial infarction [1]. Background LV thrombi typically occur in the case of impaired LV dysfunction as a result of dilated cardiomyopathy, aneurysm or a myocardial infarction [1]. A thrombus of this size is uncommon, in a patient under 50 years of age with no known cardiac disorder. Because mobile thrombi have a significantly higher risk of embolism than mural thrombi, surgical excision is often indicated [2]. Case presentation A 47-year old man with HIV presented with a stroke.
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