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Fig. 3 | Clinical Hypertension

Fig. 3

From: Massive pulmonary thromboembolism combined with transient thyrotoxicosis in an 18 year old girl

Fig. 3

Transthoracic echocardiographic (TTE) findings. a Parasternal short axis view on TTE performed on admission showing flattening of the interventricular septum (D-shaped left ventricle (LV): White Arrow). b Apical-four-chamber view on TTE performed on admission showed marked right ventricular (RV) dilatation (White Arrow). c Continuous wave Doppler echocardiographic study performed on admission. Pulmonary artery systolic pressure (64 mmHg) was calculated using maximum velocity of the tricuspid regurgitation jet (Vmax = 3.3 m/sec) and estimated right atrial pressure (20 mmHg). d Parasternal short axis view on TTE performed 3 months after anticoagulation therapy showing normalization of RV size and disappearance of the D-shaped LV. e Repeated TTE performed 3 months after anticoagulation therapy showed normalization of RV cavity with improved systolic function. f Continuous wave Doppler echocardiographic study performed 3 months after anticoagulation therapy. Pulmonary artery systolic pressure was normalized using maximum velocity of the tricuspid regurgitation jet (Vmax = 1.9 m/sec)

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