Apical rotating flow and right ventricular cerebral compression | Zendy

Jurren M. van Opstal | Zendy; Daniëlle V.J. Zaar | Zendy; Emile C. Cheriex | Zendy

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Apical rotating flow and right ventricular cerebral compression

Author(s) -

Jurren M. van Opstal,

Daniëlle V.J. Zaar,

Emile C. Cheriex

Publication year - 2008

Publication title -

european heart journal - cardiovascular imaging

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.576

H-Index - 92

eISSN - 2047-2412

pISSN - 2047-2404

DOI - 10.1093/ejechocard/jen071

Subject(s) - cardiology , ventricle , medicine , cerebral infarction , compression (physics) , anticoagulant therapy , heart failure , ischemia , materials science , composite material

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.

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