Acute embolizing ischemic stroke. A rare presentation of myocardial infarction complicated by the development of rupture of the left ventricular posterolateral wall overlapped by a partly thrombotic pseudoaneurysm

Abstract

The authors report the case of a female patient developing a subacute myocardial infarction. A subsequent mechanical complication of the event - rupture of the left ventricular lateral wall overlapped by a pseudoaneurysm - led to the development of acute embolizing stroke with thrombus release from the pseudoaneurysmal cavity. The stroke was managed by intravascular thrombolysis, and the diagnosis of stroke diagnosis established subsequently by echocardiography and magnetic resonance imaging resulted in timely cardiac surgery with pseudoaneurysm resection and linear suture of the left ventricular wall.