Severe Cardiopulmonary Complications and Stroke in a Patient With HIV and Chronic Substance Abuse: A Case Report

Figures

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  Figure 1. The CT of the head demonstrates right cerebral acute infarcts with gyral hyperdensities. The white arrows point to the areas of hemorrhagic transformation.

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  Figure 2. The ECG of the patient reveals an S1Q3T3 pattern.

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  Figure 3. The chest X-ray shows abnormal enlargement of the main pulmonary artery. The white arrow points at the main pulmonary artery.

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  Figure 4. The CTA of the chest reveals pulmonary filling defect within the left main pulmonary artery. The white arrow points at the pulmonary embolism. CTA: Computed tomography angiogram

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  Figure 5. Echocardiogram showing elevated right ventricular systolic pressure (RVSP), indicative of pulmonary hypertension.

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  Figure 6. Echocardiogram demonstrates hepatic vein flow reversal, a hallmark of severe tricuspid regurgitation and significant right ventricular overload.

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  Figure 7. Echocardiogram shows the D-configuration, characteristic of right ventricular overload in the context of elevated pulmonary arterial pressure.

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  Figure 8. The apical four-chamber view on echocardiogram. Notice how the bubbles deviate from right atrium to left atrium indicating a positive bubble study. This demonstrates an interatrial septal defect. RA: Right atrium, RV: Right ventricle, LA: Left atrium, LV: Left ventricle, Star: Interatrial septal defect