23 July 2026
: Case report 
A Novel Presentation of Hemodynamic Decompensation With Cardiogenic Shock in a Patient With Partial Anomalous Pulmonary Venous Return
Congenital defects / diseases
Wafaa Mansour AEF 1*, Jamil Qiqieh
EF 1, Johnathan Stephan E 2, Sara Gezahegn EF 3, Fadi Ayoub E 1, Dawit K. Worku E 3, Alehegn Gelaye EF 3
DOI: 10.12659/AJCR.953243
Am J Case Rep 2026; 27:e953243
Figure 2 Transthoracic echocardiography (subcostal view) demonstrates right ventricular enlargement with an increased RV/LV ratio, reflecting right ventricular dilation that exceeds the size of the left ventricle. Additionally, the right ventricular wall appears thickened, suggesting chronic pressure overload and compensatory remodeling. These findings are indicative of significant right-sided volume or pressure overload and suggest advanced right ventricular remodeling.