PMC5783153_01
Preoperative and postoperative chest X-ray of the patient.. Notes: (A) Posterior-anterior chest X-ray preoperatively showing pulmonary edema and a mass in the left lung. (B) Chest X-ray 3 h postoperatively showing pulmonary edema was relieved, and the lung mass became distinct.
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Combined with the malignancy history of the patient, pulmonary metastasis was suspected, whereas primary pulmonary tumor could not be ruled out (Figure 1A). Chest X-ray performed 3 h postoperatively revealed significantly relieved pulmonary edema (Figure 1B).
Hyperechoic lumpy mass detected on transthoracic echocardiography.. Note: Apical four chamber view showing the mass in the left atrium (orange arrow).
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Transthoracic echocardiography (TTE) showed a mobile isoechoic to hyperechoic lumpy mass (54x27 mm, Figure 2) and medium pulmonary hypertension (67 mmHg), and the ejection fraction of the left ventricle was 65%.
Timeline of interventions and outcomes.. Abbreviations: ABP, arterial blood pressure; CPB, cardiopulmonary bypass; CVP, central venous pressure; CXR, chest X-ray; DOS, day of surgery; ECG, electrocardiogram; ICU, intensive care unit; PASP, pulmonary arterial systolic pressure; PEEP, positive end expiratory pressure; POD, postoperative day; TTE, transthoracic echocardiography; SpO2, pulse oximetry.
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The timeline of history, interventions, and outcomes are summarized in Figure 3.