PMC8044646_01
Transthoracic echocardiography demonstrating tricuspid vegetation (arrow).
gr1.jpg
PMC8044646_01_gr1.jpg
fig0005
TTE revealed a mobile structure (12 x 14 mm) highly suggestive of a vegetation on the tricuspid valve (Fig. 1).
Transesophageal echocardiography five days after Fig. 1. No vegetation can be seen.
gr2.jpg
PMC8044646_01_gr2.jpg
fig0010
Five days later a TEE was performed which showed an unspecific thickening of the tricuspid valve and mild tricuspid regurgitation but no typical vegetation (Fig. 2).
Computed tomography demonstrating mediastinal tumour.
gr3.jpg
PMC8044646_01_gr3.jpg
fig0015
A pulmonary X-ray demonstrated an enlarged mediastinum, and thus a computed tomography (CT) of thorax was performed revealing bilateral pulmonary embolism, enlarged mediastinal lymph nodes and a soft tissue tumor of 4.5 x 4 x 3 cm in the mediastinum (Fig. 3).
Transhoracic echocardiography demonstrating enlarged tricuspid vegetation.
gr4.jpg
PMC8044646_01_gr4.jpg
fig0020
Repeat TEE demonstrated a large and mobile vegetation (20 x 30 mm) on a partially destroyed tricuspid valve with severe tricuspid regurgitation (Fig. 4).