Destiny of a cardiac embolus !

Dr.S.Venkatesan MD

One of my patient with atrial fibrillation , recently developed a  fairly  moderate  sized right MCA stroke that resulted in dense left sided hemiplegia .  He was on warfarin , but the stroke was confirmed to be ischemic ,the etiology was fixed as cardio embolic .After a  smart  recovery he asked this question.

Why did the clot  from  my  heart preferred  to enter the  brain doctor ?  Is there no other place for it  to go ?

I  told him in simple terms , “It is  your destiny and  the clot’s wish”.  In fact , you are some what blessed as the clot did not enter  the left side of the brain .If it had gone, your speech would have severely affected and you may  not be asking this question to me ! It is true the clot do have other options to  embolise ,  however they are…

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