To treat or not to treat: left ventricular thrombus in a patient with cerebral amyloid angiopathy: a case report.

ABSTRACT:

Background

Cerebral amyloid angiopathy (CAA) is an important cause of cognitive impairment and spontaneous lobar intracerebral haemorrhage in older individuals. When necessary, anticoagulant treatment in these patients comes with two dilemmas; significant intracerebral bleeding risk with treatment vs. high risk of embolic stroke with no treatment.

Case summary

A 66-year-old female patient presented to the emergency clinic with a ST-elevation myocardial infarction. Her past medical history revealed cognitive problems associated with lobar cerebral microbleeds on magnetic resonance imaging suspect for probable CAA. A primary percutaneous coronary intervention of the left anterior descending artery with implantation of drug eluting stent was performed. Dual antiplatelet treatme

SUBMITTER: Hilt AD 

PROVIDER: S-EPMC7891271 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature