PMC6535679_01
Images A & B images demonstrate destroyed & flailing tricuspid valve (TV), in addition to attached & mobile vegetations in different sizes (white arrow heads). Image C demonstrates a small size vegetation attached to the right side of VSD (black arrow head with white margins). A. Transthoracic (TTE) apical four chamber off-axis view. B. Transeophageal (TEE) four chamber view (mid esophageal. C. TTE four chamber view (modified mid esophageal). D. Color Doppler TEE (in the same view as shown in image C). Abbreviations: AO: aorta. IVS: interventricular septum, LA: left atrium, LV: left ventricle, MV: mitral valve, RA: right atrium, RV: right ventricle.
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PMC6535679_01_gr1.jpg
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Also, there was a small size echodensity attached at the right side of VSD (Fig. 1).