case_images: PMC9829988_01
case_images: Transthoracic echocardiography. Short axis view of left ventricle -
  Flattening of interventricular septum (red arrow) and D shape of left
  ventricle. Dilated right ventricle. LV - left ventricle, RV - right
  ventricle.
case_images: 10.1177_20542704221132142-fig1.jpg
case_images: PMC9829988_01_10.1177_20542704221132142-fig1.jpg
case_images: fig1-20542704221132142
case_images: An evidence of dilated right ventricle (RV) and flatting of interventricular septum (IVS) causing D- Shape of the left ventricle (LV) indicating RV pressure overload (Figure 1).
case_images: Right ventricular outflow (RVOT) pulse flow Doppler showed mid-systolic notch
  (red arrow) - a sign of precapillary pulmonary hypertension.
case_images: 10.1177_20542704221132142-fig2.jpg
case_images: PMC9829988_01_10.1177_20542704221132142-fig2.jpg
case_images: fig2-20542704221132142
case_images: On the other hand, a mid systolic notch seen on the right ventricular outflow track (RVOT) pulse flow Doppler (Figure 2) indicating precapillary pulmonary hypertension.
case_images: Computed tomography pulmonary angiogram (CTPA) demonstrating a saddle
  embolus. (Red arrows). Grey matter is a blood clot in the bifurcation of
  pulmonary artery extending to both right and left branches of pulmonary
  artery. MPA-main pulmonary artery.
case_images: 10.1177_20542704221132142-fig3.jpg
case_images: PMC9829988_01_10.1177_20542704221132142-fig3.jpg
case_images: fig3-20542704221132142
case_images: The Computed Tomography pulmonary angiogram (CTPA) showed a saddle embolus in the bifurcation of main pulmonary artery extending to both right and left branches of pulmonary artery (Figure 3).
case_images: Transverse B mode image showing the non-compressible right popliteal vein
  (blue arrow). Poplit V- popliteal vein, Poplit A- Popliteal artery (red
  arrow).
case_images: 10.1177_20542704221132142-fig4.jpg
case_images: PMC9829988_01_10.1177_20542704221132142-fig4.jpg
case_images: fig4-20542704221132142
case_images: Although there were no clinical signs of deep venous thrombosis, the Doppler venous system of the lower limb revealed thrombosis of right popliteal vein (Figure 4).