Key result
Acute PE presents with inverted McConnell sign featuring basal RV hyperkinesia and apical akinesia.
Why the study?
The typical McConnell echocardiographic pattern of RV wall motion is well recognized, but opposite regional contraction patterns have not been described.
Case Report (n=1)
Case report of inverted McConnell sign in PE; leaves open its prevalence and diagnostic utility.
There is a well‐recognized echocardiographic pattern of the right ventricle (RV) wall motion reported by McConnell which is characterized by normokinesia of the apical segment and akinesia of the mid–free wall with persistence of abnormal wall motion at the base. We describe a case of an 85‐year‐old man with acute massive bilateral pulmonary embolism with opposite regional contraction pattern of the RV free wall than the one referred by McConnell consisting of hyperkinesia of the basal RV free wall and akinesia of the mid‐RV free wall and RV apex, a finding that could be called “inverted McConnell sign.”
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Agustín et al. (2012) conducted a case report in Acute massive bilateral pulmonary embolism (n=1). Echocardiography was evaluated on Echocardiographic pattern of the right ventricle wall motion. An 85-year-old man with acute massive bilateral pulmonary embolism presented with an 'inverted McConnell sign' characterized by hyperkinesia of the basal RV free wall and akinesia of the mid-RV free wall and apex.
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