Transthoracic apical four-chamber view in a female patient hospitalized following massive PE. Echocardiography reveals severe ACP. In particular, the RV is considerably dilated and so crushes the LV. Note also the relative hyperkinesia of the apical portion of the free wall of the RV, described in this setting by Goldhaber. It is simply the result of the marked dilatation of the RV.
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