PMC5803962_01
Transesophageal echocardiogram showing vegetation/mass noted on septal leaflet of the Tricuspid Valve. RA: Right atrium, LA: Left atrium, RV: Right ventricle
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F1
There was also a second mass/vegetation seen associated with the septal leaflet of the tricuspid valve and the interatrial septum [Figure 1].
Transthoracic echocardiogram image showing side by side 2-dimensional and color doppler imaging of membranous septum without VSD. RA: Right atrium, LA: Left atrium RV: Right ventricle, AoV: Aortic Valve
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F2
No communication across the ventricular septum was observed [Figure 2].
Transesophageal echocardiogram image showing side by side 2-dimensional and color doppler imaging of IE created defect. LV to RV to Anterior septal commissure of tricuspid valve to RA. RA: Right atrium, LA: Left atrium, RV: Right ventricle, LV: Left ventricle, VSD: Ventricular septal defect
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F3
Echocardiogram at that time showed a new VSD (left ventricle [LV] to right ventricle [RV] to anterior septal commissure of the tricuspid valve to right atrium) [Figure 3].
Intraoperative image from the surgeon's viewpoint looking at the tricuspid valve from the right atrial position. The septal leaflet is being held by forceps, and a vegetation is notable in the abscess cavity where the ventricular septal defect begins
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F4
Intraoperative findings showed a vegetation near the septal leaflet of the tricuspid valve with VSD [Figure 4] and erosion of the noncoronary cusp of the AoV [Figure 5].
Intraoperative image from the surgeon's viewpoint. Splayed ascending aorta looking at the aortic valve showing erosion of the noncoronary cusp of the aortic valve
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F5
Intraoperative findings showed a vegetation near the septal leaflet of the tricuspid valve with VSD [Figure 4] and erosion of the noncoronary cusp of the AoV [Figure 5].