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Updated: Jul 7, 2026

Comprehensive Echocardiographic Assessment of Right Ventricle Function in a Rat Model of Pulmonary Arterial Hypertension
Published on: January 20, 2023
Apical rotating flow and right ventricular cerebral compression.
Jurren M van Opstal1, Danielle V J Zaar, Emile C Cheriex
1Department of Cardiology, Academic Hospital Maastricht, P. Debyelaan 25, Maastricht 6202 AZ, The Netherlands. jmvanopstal@yahoo.com
A patient with heart failure developed a stroke due to left ventricular thrombi and apical rotating flow. This case highlights the thrombogenic risk associated with this flow pattern and the critical need for anticoagulation.
Area of Science:
- Cardiology
- Neurology
- Vascular Medicine
Background:
- A 59-year-old male presented with heart failure symptoms.
- Echocardiography revealed an extensive apical infarction with left ventricular thrombi.
Observation:
- Doppler examination identified apical rotating flow.
- Despite anticoagulation, the patient experienced a massive right-sided cerebral infarction.
Findings:
- The cerebral infarction led to right ventricular cerebral compression.
- Apical rotating flow was identified as a potential thrombogenic risk factor.
Implications:
- This case underscores the importance of recognizing and managing thrombogenic risks in patients with apical infarction and specific flow patterns.
- The findings emphasize the critical role of adequate anticoagulation in preventing embolic events, such as stroke, in such high-risk cardiovascular conditions.
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