PMC5228655_01
Changes in the chest radiograph findings. (A) Preoperative chest radiograph at 14 days prior to surgery. (B) Intraoperative chest radiograph. Opacification at the bilateral lung fields was notable, suggesting pulmonary edema. (C) Chest radiograph on postoperative day 1. Resolution of the pulmonary edema can be observed.
medi-96-e5536-g001.jpg
PMC5228655_01_medi-96-e5536-g001.jpg
F1
The preoperative laboratory evaluation findings, including chest radiography (14 days prior to surgery), were not remarkable (Fig. 1A). Intraoperative chest radiography indicated increased opacification of the bilateral lung fields, which suggested severe pulmonary edema (Fig. 1B). Follow-up chest radiography showed a decrease in the pulmonary congestion (Fig. 1C).
Portable transthoracic echocardiograph (parasternal long axis view) showing typical ballooning of the apex in the heart during systole. LV = left ventricle.
medi-96-e5536-g003.jpg
PMC5228655_01_medi-96-e5536-g003.jpg
F2
Intraoperative transthoracic echocardiography, performed by an anesthesiologist, exhibited an ejection fraction of 40% and akinesia of the mid to apical left ventricular (LV) wall segments (Fig. 2).