Case Report: Recurrent cerebral embolism secondary to direct cardiac invasion by lung adenocarcinoma
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By
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Xiangxiong Wu
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Shenwen He
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Yayao Huo
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Yuying Wu
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Xiaoying Li
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Ying Yang
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Dawei Dong
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June 24, 2026
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Clinical Scorecard: Case Study: Recurrent Cerebral Embolism Resulting from Direct Cardiac Infiltration by Lung Adenocarcinoma
At a Glance
| Category | Detail |
|---|
| Condition | Clinical topic addressed by the source article: Case Study |
| Key Mechanisms | Mechanisms or clinical associations described in the source article. |
| Target Population | Patients with lung adenocarcinoma and atypical stroke presentations, particularly those under 50. |
| Care Setting | Routine clinical echocardiography / cardiovascular imaging |
Key Highlights
- A 41-year-old woman experienced recurrent cerebral embolism linked to lung adenocarcinoma.
- Mechanical thrombectomy was successfully performed for both embolic strokes.
Guideline-Based Recommendations
Diagnosis
Management
- Utilize mechanical thrombectomy for large-vessel occlusion in acute ischemic stroke.
Monitoring & Follow-up
Risks
Patient & Prescribing Data
Patients with lung adenocarcinoma and recurrent cerebral embolism.
Systemic chemotherapy and long-term anticoagulation were initiated.
Clinical Best Practices
- Maintain a high index of suspicion for embolic strokes in atypical presentations.
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