1. A Rare Cause of Postoperative Hypotension
Pedro D. Salinas, MD, Laura N. Toth, MD, Harold L. Manning, MD, FCCP 
CHEST 
Volume 147, Issue 5, Pages e175-e180 (May 2015)
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2. Figure 1
A posteroanterior chest radiograph shows a probable left pleural effusion.
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3. Figure 2
ECG showing T-wave inversions from V1 to V5 and an S1Q3T3 pattern, consistent with right ventricular “strain.”
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4. Figure 3
Echocardiographic image from the parasternal short-axis view showing an enlarged, “D-shaped” right ventricle (arrows) consistent with right ventricular overload.
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5. Figure 4
Anteroposterior view from the pulmonary arteriogram showing no evidence of intravascular filling defects.
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6. Figure 5
A still echocardiographic image from the parasternal long-axis view. The left ventricular cavity is totally obliterated (arrow), with endocardial walls “kissing.”
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7. Figure 6
Photomicrograph of lung sections. A, C, Tumor thromboemboli immunohistochemically express CKAE1/3 (black arrows). The adjacent type 2 pneumocytes were also CKAE1/3 positive (yellow arrow). B, D, H&E stain showing tumor emboli (arrows) and fibrin thromboemboli (stars). CKAE1/3 = cytokeratin AE1/3; H&E = hematoxylin and eosin.
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8. Figure 7
Photomicrographs of lung sections. A, B, Tumor thromboemboli immunohistochemically express VEGF (black arrows). VEGF = vascular endothelial growth factor.
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9. Figure 8
A-D, Photomicrographs of pleural fluid cytology. A, H&E stain shows clusters of malignant cells (black arrow), consistent with an ovarian primary. B, C, D, The tumor cells show negative immunohistochemical expression for CK20, TTF-1, and PR, but positive immunohistochemical expression of CK7 and PAX-8. Photomicrographs of lung sections. E, Tumor thromboemboli in the lung are negative for PAX-8. CK = cytokeratin; PAX-8 = paired box gene 8; PR = progesterone receptor; TTF = thyroid transcription factor. See Figure 6 legend for expansion of other abbreviation.
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