PMC1236943_01
A, Two dimensional transthoracic echocardiogram (modified 4 chambers view) showing a vegetation (2.5 cm x 1.3 cm) on eustachian valve (double arrow) and another small vegetation (0.5 x 0.6 cm) on tricuspid valve (single arrow). B, Color flow doppler echocardiogram (modified 4 chambers view) showing a moderate tricuspid regurgitation with flow toward the eustachian valve.
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F1
Another mobile mass of 0.6 cm x 0.8 cm was noted on tricuspid valve (Figure 1).
A Transesophageal echocardiographic view showing two peduncolated vegetations attached to the eustachian valve and another vegetation on tricuspid valve. B, Color flow doppler echocardiogram which confirms a moderate tricuspid regurgitation with flow toward the eustachian valve.
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F2
The TEE confirmed the diagnosis of eustachian and tricuspid valve endocarditis and excluded local complications due to infective endocarditis (Figure 2).