Acute Ischemic Stroke in a Young Patient with Left Ventricular Thrombus Attributed to Doxorubicin Cardiomyopathy

We report a case of acute middle cerebral territory ischemic infarction caused by left ventricular thrombus (LVT) in a doxorubicin cardiomyopathy patient. A major adverse effect of doxorubicin is cardiotoxicity. In doxorubicin cardiomyopathy, as the ventricular contractility decreases, LVT can occur...

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Published inCase reports in neurology Vol. 12; no. Suppl 1; pp. 178 - 182
Main Authors Lee, Eung-Joon, Yoon, Byung-Woo
Format Journal Article
LanguageEnglish
Published Basel, Switzerland S. Karger AG 01.12.2020
Karger Publishers
Subjects
Age
Blood clots
Bone cancer
Brain and Heart
brain infarction
Cardiomyopathy
Cardiovascular disease
Case reports
Chemotherapy
Dentists
doxorubicin
Dyspnea
Ejection fraction
Electrocardiography
Heart attacks
Ischemia
Medical imaging
Patients
Stroke
Young adults
Stroke
Young adults
Cardiomyopathy
Doxorubicin
Brain infarction
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ISSN1662-680X
1662-680X
DOI10.1159/000502414

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Abstract We report a case of acute middle cerebral territory ischemic infarction caused by left ventricular thrombus (LVT) in a doxorubicin cardiomyopathy patient. A major adverse effect of doxorubicin is cardiotoxicity. In doxorubicin cardiomyopathy, as the ventricular contractility decreases, LVT can occur and lead to systemic embolic events such as stroke.
AbstractList We report a case of acute middle cerebral territory ischemic infarction caused by left ventricular thrombus (LVT) in a doxorubicin cardiomyopathy patient. A major adverse effect of doxorubicin is cardiotoxicity. In doxorubicin cardiomyopathy, as the ventricular contractility decreases, LVT can occur and lead to systemic embolic events such as stroke.
We report a case of acute middle cerebral territory ischemic infarction caused by left ventricular thrombus (LVT) in a doxorubicin cardiomyopathy patient. A major adverse effect of doxorubicin is cardiotoxicity. In doxorubicin cardiomyopathy, as the ventricular contractility decreases, LVT can occur and lead to systemic embolic events such as stroke.We report a case of acute middle cerebral territory ischemic infarction caused by left ventricular thrombus (LVT) in a doxorubicin cardiomyopathy patient. A major adverse effect of doxorubicin is cardiotoxicity. In doxorubicin cardiomyopathy, as the ventricular contractility decreases, LVT can occur and lead to systemic embolic events such as stroke.
Author Lee, Eung-Joon
Yoon, Byung-Woo
AuthorAffiliation Department of Neurology, Seoul National University Hospital, Seoul, Republic of Korea
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  email: *Byung-Woo Yoon, Department of Neurology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 03080 (Republic of Korea), bwyoon@snu.ac.kr
BackLink https://www.ncbi.nlm.nih.gov/pubmed/33505292$$D View this record in MEDLINE/PubMed
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crossref_primary_10_1016_j_ijscr_2021_105833
crossref_primary_10_1017_cjn_2022_267
Cites_doi 10.1097/00043798-199504000-00002
10.1002/jcu.21953
10.1159/000265166
10.1001/archinte.1983.00350080085018
10.1002/1097-0142(197308)32:2<302::AID-CNCR2820320205>3.0.CO;2-2
10.1007/s12032-008-9134-3
10.1016/j.yjmcc.2012.03.006
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Keywords Stroke
Young adults
Cardiomyopathy
Doxorubicin
Brain infarction
Language English
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References Nixon JV. Left ventricular mural thrombus. Arch Intern Med. 1983Aug;143(8):1567–71. 10.1001/archinte.1983.0035008008501863471120003-9926
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Kara G, Taşoğlu O, Dizdar O, Altundağ K, Ozçakar L. Stroke due to doxorubicin-induced cardiac toxicity. Med Oncol. 2009Dec;26(4):506–7. 10.1007/s12032-008-9134-3190310151357-0560
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– reference: Broder H, Gottlieb RA, Lepor NE. Chemotherapy and cardiotoxicity. Rev Cardiovasc Med. 2008;9(2):75–83.186607281530-6550
– reference: Octavia Y, Tocchetti CG, Gabrielson KL, Janssens S, Crijns HJ, Moens AL. Doxorubicin-induced cardiomyopathy: from molecular mechanisms to therapeutic strategies. J Mol Cell Cardiol. 2012Jun;52(6):1213–25. 10.1016/j.yjmcc.2012.03.006224650370022-2828
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– reference: Ebrahimi M, Fazlinezhad A, Alvandi-Azari M, Abdar Esfahani M. Long-term clinical outcomes of the left ventricular thrombus in patients with ST elevation anterior myocardial infarction. ARYA Atheroscler. 2015Jan;11(1):1–4.260899241735-3955
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– ident: ref3
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SubjectTerms Age
Blood clots
Bone cancer
Brain and Heart
brain infarction
Cardiomyopathy
Cardiovascular disease
Case reports
Chemotherapy
Dentists
doxorubicin
Dyspnea
Ejection fraction
Electrocardiography
Heart attacks
Ischemia
Medical imaging
Patients
Stroke
Young adults
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Title Acute Ischemic Stroke in a Young Patient with Left Ventricular Thrombus Attributed to Doxorubicin Cardiomyopathy
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