PMC9829988_01
Transthoracic echocardiography. Short axis view of left ventricle -
Flattening of interventricular septum (red arrow) and D shape of left
ventricle. Dilated right ventricle. LV - left ventricle, RV - right
ventricle.
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An evidence of dilated right ventricle (RV) and flatting of interventricular septum (IVS) causing D- Shape of the left ventricle (LV) indicating RV pressure overload (Figure 1).
Right ventricular outflow (RVOT) pulse flow Doppler showed mid-systolic notch
(red arrow) - a sign of precapillary pulmonary hypertension.
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On the other hand, a mid systolic notch seen on the right ventricular outflow track (RVOT) pulse flow Doppler (Figure 2) indicating precapillary pulmonary hypertension.
Computed tomography pulmonary angiogram (CTPA) demonstrating a saddle
embolus. (Red arrows). Grey matter is a blood clot in the bifurcation of
pulmonary artery extending to both right and left branches of pulmonary
artery. MPA-main pulmonary artery.
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The Computed Tomography pulmonary angiogram (CTPA) showed a saddle embolus in the bifurcation of main pulmonary artery extending to both right and left branches of pulmonary artery (Figure 3).
Transverse B mode image showing the non-compressible right popliteal vein
(blue arrow). Poplit V- popliteal vein, Poplit A- Popliteal artery (red
arrow).
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Although there were no clinical signs of deep venous thrombosis, the Doppler venous system of the lower limb revealed thrombosis of right popliteal vein (Figure 4).