Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! By
A Case of Acute Embolic Stroke Resulting From Endocarditis and Aortic Aneurysm Concurrent With Aortic Dissection in a Healthy Young Patient: A Case Report Publisher Pubmed



Sh Ansari Sahar HOJAT ; M Salehi MEHRDAD ; N Akbari Parsa NILOUFAR ; Af Mousavi Aboozar FAKHR
Authors

Source: Journal of Medical Case Reports Published:2025


Abstract

Background: Acute ischemic stroke caused by septic embolism due to endocarditis is a rare but serious condition, especially in young patients without known risk factors. Case Summary: We present the case of a 31-year-old healthy Gilaks man from Iran with a complaint of fever and chills. Initial assessments identified an acute embolic stroke. Additional tests such as brain magnetic resonance imaging and transesophageal echocardiography revealed endocarditis with an aortic aneurysm and dissection. Successful Bentall repair of the aortic root was performed at Imam Khomeini Hospital in Tehran. He left the hospital in good health. Follow-up outpatient visits in our neurology clinic confirmed a stable recovery. Conclusion: Clinicians should consider endocarditis and aortic dissection as potential causes of embolic stroke, even in young, healthy patients. Early diagnosis and management are necessary to improve outcomes. © 2025 Elsevier B.V., All rights reserved.
Related Docs
View other Related Docs
1. Ruptured Sinus of Valsalva Aneurysm Accompanied by Aortic and Tricuspid Valve Endocarditis: A Case Report, Journal of Tehran University Heart Center (2017)
2. Association of the High-Sensitive Cardiac Troponin T Levels and Long-Term Mortality in Patients With Acute Aortic Dissection Type A, Journal of Cardiovascular and Thoracic Research (2023)
3. Coronary Artery Mycotic Aneurysm in a Patient Suffering From Subacute Endocarditis: A Case Report and Literature Review, Frontiers in Cardiovascular Medicine (2023)
Experts (# of related papers)
View all Related Experts
Tahereh Davarpasand (2)
Mehdi Mehrani (2)
Other Related Docs
4. Report of Aortic Dissection Without Risk Factor and Typical Symptoms in a 25-Year Old Man, Open Public Health Journal (2022)
5. Prevalence of Cardiac Risk Factors in Ischemic Stroke in a University Medical Center in Tehran, Iranian Heart Journal (2016)
6. Coronary Artery Dissection in a 33-Year-Old Man With Fatigue and Episodic Retrosternal Burning: A Case Report, European Heart Journal - Case Reports (2018)
7. Focal Myopericarditis As a Rare But Important Differential Diagnosis of Myocardial Infarction; a Case Series, Emergency (2016)
8. Endovascular Aortic Aneurysm and Dissection Repair (Evar) in Iran: Descriptive Midterm Follow-Up Results, Iranian Journal of Radiology (2016)
9. Successful Management of a Delayed Presentation of Traumatic Descending Thoracic Aorta Pseudoaneurysm: A Literature Review Based on a Case Report, International Journal of Emergency Medicine (2024)
10. Dual Antiplatelet Therapy in a Patient With Simultaneous Aneurysmal Subarachnoid Hemorrhage and Myocardial Infarction, Surgical Neurology International (2020)
11. A Rare Case Report of Saddle Embolism in the Abdominal Aorta Following Acute Myocardial Infarction, Journal of Babol University of Medical Sciences (2023)
12. Calcified Thoracic Mass As a Sign of Old Blunt Aortic Trauma: An Interesting Case of Aortic Pseudoaneurysm, Iranian Heart Journal (2022)