case_images: PMC6350430_01
case_images: 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
case_images: ACA-22-79-g001.jpg
case_images: PMC6350430_01_ACA-22-79-g001.jpg
case_images: F1
case_images: 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].
case_images: (a) Mid-esophageal view showing a dilated right ventricle with retracted tricuspid leaflets. (b) Color flow Doppler showing severe tricuspid regurgitation
case_images: ACA-22-79-g002.jpg
case_images: PMC6350430_01_ACA-22-79-g002.jpg
case_images: F2
case_images: 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].
case_images: (a) Well-seated bioprosthetic valve in the tricuspid position. (b) Mean gradient through tricuspid prosthesis is 2 mmHg, demonstrating no stenosis
case_images: ACA-22-79-g003.jpg
case_images: PMC6350430_01_ACA-22-79-g003.jpg
case_images: F3
case_images: 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].
case_images: (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
case_images: ACA-22-79-g004.jpg
case_images: PMC6350430_01_ACA-22-79-g004.jpg
case_images: F4
case_images: 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].