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LV is obviously compressed by RV resulting in decreased LV diastolic volume and stroke volume and thus hemodynamic instability, left atrium is compressed by the dilated RA further contributing to the lack of LV filling during diastole. This patient died from shock, resulting from hemodynamic consequences of the above, later that day. LV, left ventricle; RV, right ventricle; ACP, acute cor pulmonale.