Fatal right‐sided heart failure due to leukostasis in a patient with leukemic transformation of myelodysplastic syndrome

Figures

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  Figure 1. Patient's electrocardiogram 2 mo prior to admission and at admission. The electrocardiogram was normal 2 mo prior to admission (A) but revealed sinus tachycardia, SIQIIITIII pattern, inverted t waves in V 2, and flattened t waves in V 3‐4 at admission (B)

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  Figure 2. Patient's echocardiogram 20 mo prior to admission and at admission. Echocardiographic subxiphoid 4 chamber (A) and short‐axis view (B) 20 mo prior to admission, and subxiphoid 4 chamber (C) and short‐axis view (D) at admission. The echocardiogram was normal 20 mo prior to admission but revealed signs of severe right ventricular pressure overload and compression and D‐sign deformation of the left ventricle at admission. See text for details

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  Figure 3. Patient's computed tomography pulmonary angiogram with three‐dimensional reconstruction of the pulmonary arteries seen from the rear. The computed tomography pulmonary angiogram revealed severe right‐sided dilatation (A). There was contrast filling in both pulmonary arteries beyond the segmental arteries depicted by “*”, and hence no signs of central pulmonary embolism (B). In addition, the computed tomography ruled out pneumonia and significant atelectasis and pleural fluid (C,D)