A 62 year old Caucasian man with a past medical history significant for (long standing and controlled) HTN, lymphoma (diagnosed 2 yrs ago and currently in remission), and diffuse esophageal spasm presented to an outside hospital with expressive aphasia and right sided weakness. He was treated with tissue plasminogen activator (t-PA) for left MCA embolic stroke with excellent clinical response with very minimal residual expressive aphasia. Further work up and evaluation there revealed a large left ventricular apical mass consistent with thrombus and he was subsequently transferred to our facility for further evaluation and management of this apical mass.
Kumar, MD, Siva K.; Kabadi, MD, Rajesh M.; and Mather, MD, Paul J.
"Giant negative T waves,"
The Medicine Forum:
Vol. 9, Article 9.
Available at: http://jdc.jefferson.edu/tmf/vol9/iss1/9