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Ann Indian Acad Neurol. 2013 Jan;16(1):100-2. doi: 10.4103/0972-2327.107713.

Acute posterior circulation infarct due to bicuspid aortic valve vegetation: An uncommon stroke mechanism.

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Department of Neurology, Nizam's Institute of Medical Sciences, Panjagutta, Hyderabad, Andhra Pradesh, India.


Acute ischemic stroke may be the first clinical manifestation of the underlying cardioembolic source. We are reporting a 28-year-old man presenting with acute posterior circulation infarct due to underlying bicuspid aortic valve disease with vegetation detected by transesophageal echocardiography in the absence of clinical features of heart disease and infective endocarditis. The case report highlights the importance of routine evaluation of cardioembolic sources in all cases of ischemic stroke.


Bicuspid aortic valve vegetation; posterior circulation infarct; stroke in young

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