Derrame isquêmico como a primeira manifestação de hipertrabeculação/não-compactação ventricular grave

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Abstract

A rare congenital myocardial defect, known as left ventricular hypertrabeculation/non-compaction (LVHT), has been occasionally described associated with thrombus formation with a potential systemic embolic risk, but its association with ischemic strokes remains controversial. We report a case of ischemic stroke in a patient with severe LVHT and ventricular dysfunction as a possible etiologic synergistic association. In absence of other embolic sources, a severe LVTH associated with ventricular dysfunction could constitute a potential source of brain embolism, especially in patients with high suspicion of an embolic mechanism of ischemic stroke.

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Jaramillo, A., Ramírez, A., Galleguillos, L., Vallejos, J., & Illanes, S. (2010). Derrame isquêmico como a primeira manifestação de hipertrabeculação/não-compactação ventricular grave. Arquivos Brasileiros de Cardiologia, 94(3). https://doi.org/10.1590/S0066-782X2010000300024

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