Volume 151, Issue 3, Pages e63-e68 (March 2017)

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Volume 151, Issue 3, Pages e63-e68 (March 2017) A 42-Year-Old Woman With Anemia, Shock, and Ischemic Stroke After Lung Transplantation  Abhishek Biswas, MD, Ali Ataya, MD, Juan C. Salgado, MD, Satish Chandrasekharan, MD, Tiago N. Machuca, MD, PhD, Amir M. Emtiazjoo, MD  CHEST  Volume 151, Issue 3, Pages e63-e68 (March 2017) DOI: 10.1016/j.chest.2016.09.006 Copyright © 2016 American College of Chest Physicians Terms and Conditions

Figure 1 A, Mid-esophageal view at the level of the aortic valve with transesophageal echocardiography demonstrates a 7- to 8-mm mobile mass (arrow) attached to the atrial surface of the tricuspid valve. B, Transesophageal echocardiogram (transgastric right ventricular view) demonstrates a linear, independently mobile structure (arrow) attached to a papillary muscle in the right ventricle. CHEST 2017 151, e63-e68DOI: (10.1016/j.chest.2016.09.006) Copyright © 2016 American College of Chest Physicians Terms and Conditions

Figure 2 Diffusion-weighted MRI of the brain demonstrates restricted diffusion in the left middle cerebral artery vascular distribution consistent with evolution of infarction. New patchy areas of restricted diffusion can now be seen in the left thalamus, right caudate head, and right anterior middle cerebral artery vascular territory. CHEST 2017 151, e63-e68DOI: (10.1016/j.chest.2016.09.006) Copyright © 2016 American College of Chest Physicians Terms and Conditions

Figure 3 Evolution of changes in platelet count, hemoglobin level, and LDH levels after transplantation and stabilization following treatment with eculizumab. Hgb = hemoglobin; LDH = lactate dehydrogenase; Plat = platelets; PPH = plasmapheresis. CHEST 2017 151, e63-e68DOI: (10.1016/j.chest.2016.09.006) Copyright © 2016 American College of Chest Physicians Terms and Conditions