PMC4377392_01
Transthoracic apical four-chamber image obtained after transplant but prior to the diphragm plication. Hepatic compression of the atrium and ventricle is evident here. RV: right ventricle, RA: right atrium.
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fig1
The chest radiograph revealed an elevated right-sided hemidiaphragm while TTE demonstrated a small right atrium (RA) that appeared compressed along with the right ventricle (RV) (Figure 1). Compression of the right atrium by the transplanted liver is demonstrated (Figures 1-3, Videos 1 and 2).
Midesophageal (ME) five-chamber view. Arrows delineate the lateral wall of the right atrium (RA) (see Supplemental Digital Content 1 for the associated video in the Supplementary Material available online at http://dx.doi.org/10.1155/2015/136595). A mass of echogenic pattern consistent with hepatic tissue is visualized adjacent to and compressing the RA. Cartoon inset = ME 5-chamber view adapted from ASE and SCA Guidelines and Standards. AV: aortic valve, LA: left atrium, LV: left ventricle, and RV: right ventricle.
CRIT2015-136595.002.jpg
PMC4377392_01_CRIT2015-136595.002.jpg
fig2
Compression of the right atrium by the transplanted liver is demonstrated (Figures 1-3, Videos 1 and 2).
ME image obtained at 70 degrees to better visualize the liver compressing the right atrium (RA) (see associated Supplemental Digital Content 2).
CRIT2015-136595.003.jpg
PMC4377392_01_CRIT2015-136595.003.jpg
fig3
Compression of the right atrium by the transplanted liver is demonstrated (Figures 1-3, Videos 1 and 2).