PMC5114320_01
a Giant systolic pulsations with prominent V-waves, known as the Lancisi
sign or C-V waves (please see on-line Video 1 and 2); b transthoracic echocardiography 4-chamber view demonstrating a dilatated right atrium and right ventricle and severe tricuspid regurgitation with a moderately reduced right ventricular function (RA right atrium, RV right ventricle, TR tricuspid regurgitation, LA felt atrium, LV left ventricle)
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PMC5114320_01_11739_2015_1384_Fig1_HTML.jpg
Fig1
On jugular venous examination, giant systolic pulsations with prominent V-waves, known as the Lancisi sign or C-V waves, were noted (Fig. 1a, Video appendix 1 and 2).