PMC9681515_01
12-lead Echocardiogram in sinus rhythm, HR 60 bpm, 1st degree AV block, complete right bundle branch block, left bundle branch anterior fascicular block, with secondary alterations in ventricular repolarization suggesting RV systolic overload.
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PMC9681515_01_6936AX214-ACM-92-438-g001.jpg
F1
Transthoracic Echocardiogram: A: parasternal long axis with an end-diastolic diameter of 56 mm. B: parasternal long axis with LVOT amplification with a diameter of 240 mm.
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PMC9681515_01_6936AX214-ACM-92-438-g002.jpg
F2
T in 8 ng/dL, NT-Pro BNP 6172 pg/mL. Transthoracic echocardiogram reported LV concentric hypertrophy, left ventricular ejection fraction in 62%, severe AR, left ventricular end-diastolic diameter of 57 mm, and pulmonary artery systolic pressure 52 mmHg (Fig. 2).
Transesophageal Echocardiogram: A: tricuspid aortic valve. B: X-PLANE showing AR with Central Flow Jet.
6936AX214-ACM-92-438-g003.jpg
PMC9681515_01_6936AX214-ACM-92-438-g003.jpg
F3
Complementary TE was made with evidence of dilatation of the aortic annulus, which conditioned lack of leaflet coaptation and severe central regurgitation (Fig. 3).