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Title

Apical rotating flow and right ventricular cerebral compression.

Authors

Opstal, Jurren M. van; Zaar, Danielle V.J.; Cheriex, Emile C.

Abstract

A 59-year-old male was admitted to the emergency room with signs of heart failure. The echocardiogram showed an extensive apical infarction with large mobile thrombi in the left ventricle. Doppler examination demonstrated apical rotating flow. Despite adequate anticoagulant therapy, the patient suffered a massive right-sided cerebral infarction leading to right ventricular cerebral compression. The thrombogenic risk of apical rotating flow and the need for anticoagulation are discussed.

Subjects

HEART failure patients; ECHOCARDIOGRAPHY; CEREBRAL infarction; PERIODIC health examinations; THERAPEUTICS

Publication

European Journal of Echocardiography, 2008, Vol 9, Issue 4, p584

ISSN

1525-2167

Publication type

Academic Journal

DOI

10.1093/ejechocard/jen071

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