Abstract
The case report describes a fifty-three-year-old patient admitted for an ischemic stroke with severe right-sided symptomatology and mixed phatic disorder. Large cortico-subcortical cerebral infarction, occupying practically the entire posterior half of the area supplied by the cerebral medium artery was described on the CT examination.
An echocardiographic examination significantly contributed to elucidation of the cause of the stroke. A transthoracic echocardiography found severe hypokinesis of the entire left ventricle anterior wall, dyskinesis of the apex, and septal hypokinesis.
A wall thrombus was described in the apex aneurysm. This finding corresponded to an overcome myocardial infarction and supported the probable embolic etiology of stroke.
A subsequent coronary angiography confirmed a total proximal occlusion of the left anterior descending artery. The patient additionally admitted a chest pain episode preceding the stroke.
Due to the ongoing COVID-19 epidemic he did not seek a doctor and was then hospitalized with a severe stroke.