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Middle hepatic vein Doppler on Day 1 demonstrated S wave reversal suggestive of tricuspid regurgitation and/or right heart failure (a). Right portal vein Doppler on Day 1 demonstrating reduced portal venous flow suggestive of venous congestion (b). Right portal vein Doppler on Day 5 demonstrating portal venous flow reversal suggestive of severe heart failure and venous congestion
