PMC10196528_01
CT head - showing a large right fronto-parieto-temporal cortical and subcortical
hypodensity, producing a mass effect and midline shift of 4.2 mm and midline shift.
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Computed tomography (CT) of his head showed a large right fronto-parieto-temporal cortical and subcortical hypodensity involving the right middle cerebral artery territory, producing a mass effect and midline shift of 4.2 mm (Figure 1).
CT angiogram (head) - showing occlusion of the distal right common carotid artery and
its distal branches.
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CT angiography and head perfusion showed total occlusion of the distal right common carotid artery (Figures 2 and 3). Transthoracic echocardiography showed a highly mobile cystic mass seen in the LVOT (Figures 2 and 3).
Head perfusion - right fronto-parieto-temporal stroke with a core of infarct and
surrounding penumbra due to occlusion of the distal common carotid artery and its distal
branches.
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CT angiography and head perfusion showed total occlusion of the distal right common carotid artery (Figures 2 and 3). Transthoracic echocardiography showed a highly mobile cystic mass seen in the LVOT (Figures 2 and 3).
Transthoracic echo - a highly mobile cystic mass measuring 12 x 8 mm is seen, attached
by a very short pedicle to the left ventricular outflow tract.
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Transoesophageal echocardiogram confirmed the cystic mass to be 12 x 8 mm and attached to the undersurface of the non-coronary cusp in the LVOT with normal aortic valve appearance and function (Figures 4 and 5).
Transthoracic echo - a highly mobile cystic mass attached at the base of the
non-coronary cusp of the aortic valve.
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Transoesophageal echocardiogram confirmed the cystic mass to be 12 x 8 mm and attached to the undersurface of the non-coronary cusp in the LVOT with normal aortic valve appearance and function (Figures 4 and 5).
Transthoracic echo - no mass was visible.
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Transthoracic echocardiogram confirmed no residual lesion (Figure 6).