PMC6376158_01
a) Radiograph showing an expanded cardiothoracic ratio (CTR) and bilateral field opacities in a butterfly distribution on POD 4. b) Chest CT showing diffuse ground-glass appearance and pleural effusion in bilateral lung fields.
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The chest X-ray examination showed expanded cardiothoracic ratio (CTR) and bilateral field opacities in a butterfly distribution, suggesting pulmonary edema due to congestive heart failure (Fig. 1a). Computed tomography revealed diffuse ground-glass appearance in bilateral ling with pleural effusion (Fig. 1b).
Echocardiogram on POD 4. Parasternal long axis views (top) and short axis views (bottom) of end-systolic frames (right) and end-diastolic frames (left) are shown. While the basal septum shows normokinesia (arrows), the apical septum is akinetic (*). LV; left ventricular.
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Echocardiogram showed a severe apical wall motion abnormality with normal basilar wall motion and severely impaired left ventricular function with an EF of 40% (Fig. 2).
Echocardiogram on POD 44. Parasternal long axis views (top) and short axis views (bottom) of end-systolic frames (right) and end-diastolic frames (left) are shown. Normal left ventricular function with no wall motion abnormalities was found. LV; left ventricular.
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On POD 44, echocardiogram showed normal left ventricular function (the EF 60%) with no wall motion abnormalities (Fig. 3).