case_images: PMC5742444_01
case_images: Transthoracic echocardiogram 2D during end-diastolic phase, illustrating flattening of the interventricular septum (D-shaped left ventricle) secondary to right ventricle (RV) overload and increased pressure. Important left deviation of septum into the left ventricle (LV) noted (red arrow).
case_images: CRIC2017-4309165.001.jpg
case_images: PMC5742444_01_CRIC2017-4309165.001.jpg
case_images: fig1
case_images: Right ventricular systolic pressure was elevated at >60 mm Hg, consistent with severe pulmonary hypertension, and flattening of the interventricular septum (D-shaped left ventricle) with RV overload (Figure 1).
case_images: Transthoracic echocardiogram 2D during end-diastolic phase, after hemodialysis showing improvement of flattening (red arrow) of the interventricular septum (D-shaped left ventricle) and displacement toward left ventricle (LV). Right ventricle (RV).
case_images: CRIC2017-4309165.002.jpg
case_images: PMC5742444_01_CRIC2017-4309165.002.jpg
case_images: fig2
case_images: Transthoracic echocardiogram was repeated and demonstrated less left deviation of interventricular septum compared with previous echocardiogram (Figure 2).