DOI: https://doi.org/10.36347/sasjm.2025.v11i05.035

Pages: 572-575

Broca’s aphasia as an initial manifestation of left ventricular thrombus (LVT) is an unusual and clinically significant presentation. LVT is a known complication of acute myocardial infarction and carries a high risk of systemic embolism, including stroke. We report the case of a 59-year-old man with a history of smoking and poorly controlled type 2 diabetes who presented with sudden-onset broca’s aphasia, shortly after an episode of acute chest pain. Brain MRI confirmed a subacute ischemic stroke in the territory of the left middle cerebral artery. Subsequent cardiac work-up revealed a sizeable thrombus in the left ventricular apex. This case underscores the importance of considering cardioembolic etiologies in patients presenting with isolated aphasia, especially in the setting of recent ischemic cardiac events. Prompt diagnosis and targeted management of intracardiac thrombi are essential to reduce the risk of recurrent embolic events.