case_images: PMC11348358_01
case_images: Chest-X-ray showing cardiomegaly with bilateral pleural effusion.. Abbreviations: AO, aorta; PA, pulmonary artery; RVOT, right ventricular outflow.
case_images: 10.1177_11795476241277329-fig1.jpg
case_images: PMC11348358_01_10.1177_11795476241277329-fig1.jpg
case_images: fig1-11795476241277329
case_images: Chest-X-ray revealed cardiomegaly with bilateral pleural effusion (Figure 1).
case_images: 2D parasternal short axis view at the great vessels level showing 12 mm x 10 mm mobile pulmonary valve vegetation, and mildly thickened pulmonic valves.. Abbreviations: AO, aorta; PA, pulmonary artery; RVOT, right ventricular outflow.
case_images: 10.1177_11795476241277329-fig2.jpg
case_images: PMC11348358_01_10.1177_11795476241277329-fig2.jpg
case_images: fig2-11795476241277329
case_images: Trans thoracic Echocardiography (TTE) showed there was 10 mm x 12 mm sized vegetation on pulmonic valve (Figure 2).
case_images: Parasternal short axis view at the great vessels level: color flow doppler at the pulmonary valve showing turbulent flow showing both pulmonary regurgitation and pulmonary stenosis.
case_images: 10.1177_11795476241277329-fig3.jpg
case_images: PMC11348358_01_10.1177_11795476241277329-fig3.jpg
case_images: fig3-11795476241277329
case_images: There was thickened and scalloped pulmonic valve suggestive of pulmonary stenosis, and moderate pulmonary regurgitation on color flow study (Figure 3).
case_images: Parasternal long axis right ventricular inflow view showing tricuspid regurgitation with TV velocity 3 m/s, and right ventricular systolic pressure of 46 mmHg.
case_images: 10.1177_11795476241277329-fig4.jpg
case_images: PMC11348358_01_10.1177_11795476241277329-fig4.jpg
case_images: fig4-11795476241277329
case_images: Right ventricular systolic pressure was 46 mmhg (Figure 4).