PMC6350430_01
Tricuspid annular plane excursion measurement, measuring distance between lateral tricuspid annulus and right ventricular apex during systole (a) and diastole (b). The tricuspid annular plane excursion measures 2 cm, suggestive of normal right ventricular systolic function
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F1
TTE findings [Figures 1 and 2]. TEE immediately after bypass demonstrated a dilated right heart with otherwise normal systolic function and a well-functioning tricuspid valve with no tricuspid regurgitation nor stenosis [Figure 3].
(a) Mid-esophageal view showing a dilated right ventricle with retracted tricuspid leaflets. (b) Color flow Doppler showing severe tricuspid regurgitation
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F2
TTE findings [Figures 1 and 2]. TEE immediately after bypass demonstrated a dilated right heart with otherwise normal systolic function and a well-functioning tricuspid valve with no tricuspid regurgitation nor stenosis [Figure 3].
(a) Well-seated bioprosthetic valve in the tricuspid position. (b) Mean gradient through tricuspid prosthesis is 2 mmHg, demonstrating no stenosis
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F3
TTE findings [Figures 1 and 2]. TEE immediately after bypass demonstrated a dilated right heart with otherwise normal systolic function and a well-functioning tricuspid valve with no tricuspid regurgitation nor stenosis [Figure 3].
(a) Mid-esophageal four-chamber view showing an immobile septal leaflet (arrow) not opening during diastole. (b) Three-dimensional image demonstrating thrombus (arrow) on a tricuspid valve leaflet
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F4
TEE showed an immobile septal leaflet with a hyperechoic density encasing the valve reminiscent of a thrombus preventing its free motion, with normal right ventricular function [Figure 4].