PMC6336554_01
Transthoracic echocardiography before treatment of warfarin revealed left ventricular thrombus in size of 1.75 x 1.68 cm (A). Shrinkage of left ventricular thrombus after treatment of warfarin for 3 weeks (B).
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F1
After admission to our ward, transthoracic echocardiogram showed global hypokinetic LV (the EF of LV was 28%), dilated LV size and a pedunculated apical thrombus measuring 1.75 x 1.68 cm (Fig. 1).
(A) T2 FLAIR images and (B) DWI of the brain MRI. The brain MRI showed multiple hyperintense lesions on DWI and FLAIR in the cortex of the bilateral frontal lobes and left parietal lobe, which highly suggested acute embolic infarction. DWI = Diffusion-weighted imaging, FLAIR = Fluid-attenuated inversion recovery, MRI = Magnetic Resonance Imaging.
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F2
His symptoms totally recovered within 1 day, but the brain magnetic resonance imaging (MRI) showed multiple acute infarctions in the cortex of the bilateral frontal lobes, left parietal lobe, and bilateral central semiovale, which highly suggested embolic stroke (Fig. 2).