case_images: PMC11072055_01
case_images: Preoperative chest X-ray taken approximately 1 month prior to surgery. Unremarkable findings except for a dull costophrenic angle on the left lung, indicative of a pre-existing left pleural effusion.
case_images: 10.1177_2050313X241249081-fig1.jpg
case_images: PMC11072055_01_10.1177_2050313X241249081-fig1.jpg
case_images: fig1-2050313X241249081
case_images: Preoperative chest X-ray, taken approximately 1 month prior to the surgery, was unremarkable, except for a dull costophrenic angle on the left lung, suggesting a pre-existing left pleural effusion (Figure 1).
case_images: Intraoperative transesophageal echocardiography shows bilateral pleural effusions and atelectasis in the lungs. (a) Large right pleural effusion. (b) Large left pleural effusion. (c) Reduced right pleural effusion after evacuation. (d) Reduced left pleural effusion after evacuation.
case_images: 10.1177_2050313X241249081-fig2.jpg
case_images: PMC11072055_01_10.1177_2050313X241249081-fig2.jpg
case_images: fig2-2050313X241249081
case_images: Post-induction intraoperative transthoracic echocardiography showed severely decreased left ventricular ejection fraction of 30% with severe aortic insufficiency, a mobile vegetation on the aortic valve, a moderate pericardial effusion, and large bilateral pleural effusions (Figure 2).
case_images: Postoperative chest X-rays. (a) Diffuse ground-glass opacity representing pulmonary edema, with the right lung worse than the left lung on postoperative day (POD)1. (b) Resolving pulmonary edema on POD3.
case_images: 10.1177_2050313X241249081-fig3.jpg
case_images: PMC11072055_01_10.1177_2050313X241249081-fig3.jpg
case_images: fig3-2050313X241249081
case_images: A chest X-ray revealed diffuse patchiness in both lungs, with the right lung being worse than the left (Figure 3).