Cardioembolic Stroke: A peculiar remote complication of a foreign object in a child heart.

The incidence of neurological complications of foreign bodies in the heart is unknown. There is no consensus for the management of asymptomatic foreign bodies in the heart. We report a case of a remote massive cardioembolic stroke, four weeks after a penetrating sewing needle puncture from the anterior chest through the right ventricle and interventricular septum protruding into the left ventricle close to mitral valve sub-valvular apparatus in a 5-year-old boy. the foreign object was surgically removed. We discuss a rare case of delayed complication of penetrating cardiac injury, spotlight on diagnosis, decision making, and management.