Apical rotating flow and right ventricular cerebral compression.
نویسندگان
چکیده
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.
منابع مشابه
Right Ventricular Compression Observed in Echocardiography from Pectus Excavatum Deformity
Pectus excavatum exists as varying anatomic deformities and compression of the right heart by the chest wall can lead to patient symptoms including dyspnea and chest pain with exertion. Echocardiography can be difficult but is critical to the evaluation and diagnosis of this patient population. Modifying standard views such as biplane transthoracic and 3-D transesophageal views may be necessary...
متن کاملDoppler left ventricular flow pattern versus conventional predictors of left ventricular thrombus after acute myocardial infarction.
OBJECTIVES The value of Doppler-derived left ventricular spatial flow patterns in predicting left ventricular thrombus formation after myocardial infarction was compared with that of conventional clinical and echocardiographic variables. BACKGROUND Assessment of left ventricular thrombosis risk after myocardial infarction is important because of potential embolic sequelae that are reduced by ...
متن کاملEchocardiographic assessment of right ventricular obstruction in hypertrophic cardiomyopathy.
Echocardiography was used to evaluate the incidence, flow dynamics and morphological characteristics of right ventricular obstruction in 91 patients with hypertrophic cardiomyopathy. Color flow mapping was used to define the sites of obstruction in the left and right ventricles. Ventricular obstruction was considered to be present if the flow velocity was less than 2.0 m/s as measured by contin...
متن کاملBeneficial effect of dual-chamber pacing for a left mid-ventricular obstruction with apical aneurysm.
Sustained ventricular tachycardia (VT) developed in a 63-year-old woman. The 2-dimensional echocardiogram revealed left mid-ventricular obstructive hypertrophy and a discrete apical chamber. A continuous wave Doppler signal across the mid-ventricular narrowing exhibited early systolic ejection flow and diastolic paradoxical jet flow from the apex to the basal chamber, implying a significant sys...
متن کاملDynamic alteration of regional cerebral blood flow during carotid compression and proof of reversibility
BACKGROUND It is difficult to non-invasively visualize changes in regional cerebral blood flow caused by manual compression of the carotid artery. PURPOSE To visualize dynamic changes in regional cerebral blood flow during and after manual compression of the carotid artery. MATERIAL AND METHODS Two healthy volunteers were recruited. Anatomic features and flow directions in the circle of Wil...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology
دوره 9 4 شماره
صفحات -
تاریخ انتشار 2008