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A change of heart

Philips CT Clinical Science Philips Healthcare • USA

Yield of cardiac imaging in acute stroke

Kauw F, Dankbaar JW, Habets J, Cramer MJM, de Jong HWAM, Velthuis BK, Kappelle LJ.

* This case report originally appeared in the May 2018 edition of Case Report Neurology.
This case report describes a patient who experienced a recurrent ischemic stroke within 24 hours. Dual-energy computed tomography (DECT) angiography on admission showed two intracardiac thrombi, one in the left ventricle and one in the left atrial appendage. Following the second ischemic event, repeated DECT angiography showed that the ventricular thrombus had considerably diminished, suggesting that the recurrent brain infarction was caused by cardioembolism. This case emphasizes:
  1. The potential benefit of cardiac evaluation through CT angiography in the acute stroke setting
  2. The use of DECT angiography for the detection of thrombus and the differentiation between thrombus, the myocardial wall, and a slow flow of contrast
For more information about this publication, check out the PubMed listing for this article.

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Nov 19, 2018

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IQon Spectral CT
Cardiac, coronary angiography, coronary arteries, Left atrium, left ventricle, Neuro, spectral CT, stroke, Vascular

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