PMC8627143_01
A) transthoracic echocardiography (TTE) in long-axis view showing dilated LF with LVEDD of 61 mm; B) apical 2-chamber, 2-dimensional echocardiogram showing severe systolic dysfunction at 21%
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F1
Echocardiography showed dilated cardiomyopathy with left ventricular end diastolic dimension of 61 mm, global hypokinesia with severe left ventricular systolic dysfunction with ejection fraction of 21%, elevated filling pressure of left ventricular and mild mitral insufficiency; no left ventricle thrombus was noted (Figure 1A, B).
coronary angiogram showed normal coronary arteries
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F2
The coronary angiogram revealed normal coronary arteries (Figure 2).
PMC8627143_02
A) transthoracic echocardiography (TTE) in apical 4-chamber, 2-dimensional echocardiogram showing severe systolic dysfunction at 17%; B): M-mode transthoracic echocardiography on long-axis view showing dilated LF with LVEDD of 61 mm and severe systolic dysfunction
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F3
At Doppler, there was minimal mitral leakage and tricuspid insufficiency (Figure 3A, B).
A) wound at the dorsal surface and the sole of the right foot; B): spontaneous loss of the toes of both feet
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F4
After the regression of the lower limb edema, clinical examination showed bilateral toes necrosis (Figure 4A). The evolution was marked by spontaneous loss of all feet toes (Figure 4B).
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PMC8627143_05
axial computed tomography pulmonary angiogram image showing pulmonary embolism of the right pulmonary artery
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F5
CT pulmonary angiography found pulmonary embolism involving the right pulmonary artery (Figure 5).