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doi:10.1378/chest.07-0698
(Chest. 2007; 132:1659-1661)
© 2007 American College of Chest Physicians
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Left Ventricular Thrombus*

An Unusual Cause of Stroke

Ilan Youngster, MD; Gideon Eshel, MD; Ibrahim Abu-kishak, MD; Eli Heyman, MD and Shaul Baram, MD

* From the Division of Pediatrics (Dr. Youngster), Pediatric Intensive Care Unit (Drs. Eshel and Abu-kishak), Pediatric Neurology and Rehabilitation Unit (Dr. Heyman), Pediatric Cardiology Unit (Dr. Baram), Assaf Harofeh Medical Center, Zerifin, Israel.

Correspondence to: Ilan Youngster, MD, Division of Pediatrics, Assaf Harofeh Medical Center, Zerifin 70300, Israel; e-mail: ilanyoungster{at}yahoo.com

An 8-year-old boy was admitted to the hospital with multiple abdominal and pelvic injuries following a motor vehicle accident. During hospitalization, signs of stroke developed. Evaluation discovered the cause to be emboli originating from a large left ventricular thrombus, most probably as a result of cardiac injury. Anticoagulation therapy was initiated, the cardiac mass resolved completely within 3 days, and neurologic status subsequently improved. When possible, echocardiography should be used as part of the workup of pediatric patients after multiple trauma, even without obvious signs of chest involvement.

Key Words: pediatric • stroke • trauma • ventricular thrombus






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