rss
BMJ Case Reports 2012; doi:10.1136/bcr.10.2011.5027
  • Unusual association of diseases/symptoms

A heart within the heart – a rare congenital cause of an embolic stroke

  1. Frank Schafer2
  1. 1Cardiology Department, Harefield Hospital, London, UK
  2. 2Cardiology Department, Barnet Hospital, London, UK
  1. Correspondence to Dr Tina Khan, tinakhaled{at}hotmail.com

Summary

The authors report the case of an 87-year-old lady who presented with a right middle cerebral artery territory infarct in whom the authors diagnosed a probable ruptured blood cyst attached to her anterior mitral valve leaflet, with the use of trans-thoracic and trans-oesophageal echocardiography. Embolic strokes are recognised as a rare complication of intracardiac blood cysts, with very few cases previously reported. Echocardiography was first used to identify a blood cyst in 1983 and remains an excellent modality to diagnose this rare condition.

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article