Int J Cardiovasc Imaging (2017) 33:1443–1444 DOI 10.1007/s10554-017-1123-1 IMAGES IN CV APPLICATIONS 1,2 1 1 1 Johann Auer · Gerhard Vorreiter · Franz Gurtner · Carina Primus · Robert Berent Received: 10 March 2017 / Accepted: 20 March 2017 / Published online: 1 April 2017 © Springer Science+Business Media Dordrecht 2017 A 89-year-old man was referred for evaluation of recent function (LV-ejection fraction 39%), mildly enlarged left onset chest pain and right sided hemianopsia. The medi- atrium, normal Doppler velocities through the aortic and cal history was unremarkable without risk factors for mitral valves, and a very mobile pedunculated free-float- coagulopathy. He was a life-long nonsmoker with no his- ing thrombus in the ascending aorta that was attached to tory of thrombosis. On admission, blood pressure was a mildly atherosclerotic aortic wall (Fig. 1c, arrow). A 140/75 mmHg, heart rate was 104 beats per min and the 48-h holter rhythm monitor revealed regular sinus rhythm. patient had normal heart sounds on auscultation. Cerebral The patient underwent transesophageal echocardiography nonenhanced computed tomography showed a hypoat- (TEE) and 64-slice CT angiography, which confirmed the tenuating focus in the left posterior cerebral artery terri- previous TTE findings (Fig. 1d–f-arrow, and video sup- tory, consistent with cerebral
The International Journal of Cardiovascular Imaging – Springer Journals
Published: Apr 1, 2017
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