case_images: PMC6116405_01
case_images: Significant ECGs. (a) Diffuse ST elevation and PR depressions indicating pericarditis. (b) S1Q3T3 phenomenon.
case_images: CRIC2018-3514797.001.jpg
case_images: PMC6116405_01_CRIC2018-3514797.001.jpg
case_images: fig1
case_images: Transthoracic 2D echocardiography images. Echo images concerning for compression of the pulmonary vasculature.
case_images: CRIC2018-3514797.002.jpg
case_images: PMC6116405_01_CRIC2018-3514797.002.jpg
case_images: fig2
case_images: Repeat transthoracic echocardiography demonstrated right ventricular strain and what appeared to be a near to total occlusion of her pulmonary trunk (Figure 2).
case_images: CT scans identifying pseudoaneurysm. Pseudoaneurysm compressing on the pulmonary trunk and right main stem (a) and 4.8 cm aortic pseudoaneurysm (b).
case_images: CRIC2018-3514797.003.jpg
case_images: PMC6116405_01_CRIC2018-3514797.003.jpg
case_images: fig3
case_images: Computed tomography (CT) angiography was significant for a 4.8 cm small-necked pseudoaneurysm arising off the anterolateral aspect of the aorta and was found to be compressing the pulmonary trunk and right pulmonary artery (Figure 3).
case_images: Intraoperative transesophageal echocardiogram. D-shaped ventricle indicating right heart strain seen in multiple frames.
case_images: CRIC2018-3514797.004.jpg
case_images: PMC6116405_01_CRIC2018-3514797.004.jpg
case_images: fig4
case_images: Intraoperative transesophageal echocardiography revealed right ventricular remodeling resulting in a severely strained D-shaped ventricle and severely dilated RVOT of 4 cm (Figure 4).