van Opstal Jurren M, Zaar Danielle V J, Cheriex Emile C
Department of Cardiology, Academic Hospital Maastricht, P. Debyelaan 25, Maastricht 6202 AZ, The Netherlands.
Eur J Echocardiogr. 2008 Jul;9(4):584-5. doi: 10.1093/ejechocard/jen071. Epub 2008 Feb 19.
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.
一名59岁男性因心力衰竭症状被收入急诊室。超声心动图显示广泛的心尖梗死，左心室内有大量活动血栓。多普勒检查显示心尖旋转血流。尽管进行了充分的抗凝治疗，患者仍发生了大面积右侧脑梗死，导致右心室脑压迫。本文讨论了心尖旋转血流的血栓形成风险及抗凝需求。
