PMC5282415_01
(a) Chest X-ray showing cardiomegaly. (b) Electrocardiogram showing tachycardia. ST-T depression was seen in leads II, III, and aVF.
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fig1
Chest X-ray revealed a cardiothoracic ratio of 52% (Figure 1(a)), and electrocardiography revealed sinus tachycardia and ST depression in leads II, III, and aVF (Figure 1(b)).
CT findings. (a) A ball-like thrombus located in the left ventricle (arrow). (b) Splenic infarction (arrow) and thrombi in bilateral renal veins and the inferior vena cava (arrowheads). (c) 3D reconstruction image of the lower limbs showing defects in the right superficial femoral artery, right deep femoral artery, right popliteal artery, right posterior tibial artery, and right peroneal artery (arrows).
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fig2
Contrast-enhanced computed tomography revealed a low-density mass in the LV (Figure 2(a)), splenic infarction (Figure 2(b)), and peripheral arterial obstructions of her right leg (Figure 2(c)). Thrombosis extending from the renal vein to the inferior vena cava was also detected (Figure 2(b)).
Trends in anticoagulant therapy. APTT: activated partial thromboplastin time; PT-INR: prothrombin time expressed as international normalized ratio.
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fig3
Her treatment course is summarized in Figure 3.