Fig. 1.

a Doppler of the middle hepatic vein on Day 1 demonstrated S wave retrograde flow suggestive of tricuspid regurgitation and/or right heart failure. b Doppler of the right portal vein on Day 1 demonstrated pulsatile flow with intermittent flow cessation suggestive of venous congestion. c A net negative fluid balance of 1.9 L was achieved which resulted in on Day 2. d Then a net negative fluid balance of 4.9 L was achieved which resulted in the normalization to a continuous and anterograde phasic portal flow on Day 3