Author Credentials

Bradley Tennant, DO

Riley Fernan, DO

Michael Maggiulli, MD

Elizabeth Loomis, MD


Left ventricular thrombi are most commonly observed in patients after a myocardial infarction with left ventricular aneurysm. We present a case of a 60 year old male who developed an embolic cerebrovascular accident (CVA) secondary to a left ventricular thrombus without evidence of an anteroapical aneurysm or diagnosed myocardial infarction. Outpatient investigation after hospitalization for the acute CVA led to an eventual diagnosis of multiple myeloma. This case reinforces the importance of considering rare etiologies including malignancy in patients who present without typical risk factors for embolic disease.