case_images: PMC8627143_01
case_images: A) transthoracic echocardiography (TTE) in long-axis view showing dilated LF with LVEDD of 61 mm; B) apical 2-chamber, 2-dimensional echocardiogram showing severe systolic dysfunction at 21%
case_images: PAMJ-40-119-g001.jpg
case_images: PMC8627143_01_PAMJ-40-119-g001.jpg
case_images: F1
case_images: Echocardiography showed dilated cardiomyopathy with left ventricular end diastolic dimension of 61 mm, global hypokinesia with severe left ventricular systolic dysfunction with ejection fraction of 21%, elevated filling pressure of left ventricular and mild mitral insufficiency; no left ventricle thrombus was noted (Figure 1A, B).
case_images: coronary angiogram showed normal coronary arteries
case_images: PAMJ-40-119-g002.jpg
case_images: PMC8627143_01_PAMJ-40-119-g002.jpg
case_images: F2
case_images: The coronary angiogram revealed normal coronary arteries (Figure 2).
case_images: PMC8627143_02
case_images: A) transthoracic echocardiography (TTE) in apical 4-chamber, 2-dimensional echocardiogram showing severe systolic dysfunction at 17%; B): M-mode transthoracic echocardiography on long-axis view showing dilated LF with LVEDD of 61 mm and severe systolic dysfunction
case_images: PAMJ-40-119-g003.jpg
case_images: PMC8627143_02_PAMJ-40-119-g003.jpg
case_images: F3
case_images: At Doppler, there was minimal mitral leakage and tricuspid insufficiency (Figure 3A, B).
case_images: A) wound at the dorsal surface and the sole of the right foot; B): spontaneous loss of the toes of both feet
case_images: PAMJ-40-119-g004.jpg
case_images: PMC8627143_02_PAMJ-40-119-g004.jpg
case_images: F4
case_images: After the regression of the lower limb edema, clinical examination showed bilateral toes necrosis (Figure 4A). The evolution was marked by spontaneous loss of all feet toes (Figure 4B).
case_images: PMC8627143_03
case_images: PMC8627143_04
case_images: PMC8627143_05
case_images: axial computed tomography pulmonary angiogram image showing pulmonary embolism of the right pulmonary artery
case_images: PAMJ-40-119-g005.jpg
case_images: PMC8627143_05_PAMJ-40-119-g005.jpg
case_images: F5
case_images: CT pulmonary angiography found pulmonary embolism involving the right pulmonary artery (Figure 5).