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Apical rotating flow and right ventricular cerebral compression.

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

Department of Cardiology, Academic Hospital Maastricht, P. Debyelaan 25, Maastricht 6202 AZ, The Netherlands. jmvanopstal@yahoo.com

European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology 2008 Jul


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  • cerebral infarction (1)
  • echocardiography doppler (1)
  • encephalocele (1)
  • fatal outcome (1)
  • heart diseases (1)
  • heart failure (2)
  • humans (1)
  • left ventricle (1)
  • male (2)
  • middle aged (1)
  • myocardial infarction (1)
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  • right sided cerebral infarction (1)
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    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.

    Citation

    Jurren M van Opstal, Danielle V J Zaar, Emile C Cheriex. Apical rotating flow and right ventricular cerebral compression. European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology. 2008 Jul;9(4):584-5

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    PMID: 18296394

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