PMC5409949_01
Apical four-chamber view in transthoracic echocardiography, showing Ebstein's anomaly with mild-to-moderate tricuspid regurgitation (arrow) and right ventricular and atrial dilation
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F1
Echocardiography revealed features of Ebstein's anomaly with mild-to-moderate tricuspid regurgitation (Figure 1a) and right ventricular and atrial dilation. The anterior leaflet of the tricuspid valve was enlarged but pliable with mild tethering, and the septal and posterior leaflets were significantly displaced (about 14 mm/m2 for the septal and 16 mm/m2 for the posterior leaflet; Figure 1b).
Apical four-chamber view in transthoracic echocardiography, showing an enlarged and pliable anterior tricuspid leaflet with mild tethering (horizontal arrow) and septal tricuspid leaflet with significant apical displacement (vertical arrow)
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F2
There was a small patent foramen ovale, seen in contrast study (Figure 2).
Four-chamber view in transesophageal echocardiography, showing the interatrial septum (arrow heads) with a small patent foramen ovale illustrated in contrast study
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F3
Other interesting echocardiographic findings were bicuspid aortic valve (Figure 3) with no stenosis and only mild regurgitation and dilated coronary sinus because of persistent left superior vena cava.