Apical rotating flow and right ventricular cerebral compression.
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.
van Opstal
Jurren M
JM
Department of Cardiology, Academic Hospital Maastricht, P. Debyelaan 25, Maastricht 6202 AZ, The Netherlands. jmvanopstal@yahoo.com
Zaar
Danielle V J
DV
Cheriex
Emile C
EC
D002544:Cerebral Infarction / Q000209:etiology; D015150:Echocardiography, Doppler; D004677:Encephalocele / Q000209:etiology; D017809:Fatal Outcome; D006331:Heart Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000000981:diagnostic imaging; D013927:Thrombosis / Q000150:complications / Q000000981:diagnostic imaging*; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging*