case_images: PMC10170589_01
case_images: This is a 2-dimensional transthoracic echocardiogram apical 4-chamber view that visually demonstrates vegetation attached to the tricuspid valve (red arrow). The vegetation is protruding through the valve to the right atrium during systole (white arrow).
case_images: 10.1177_23247096231173397-fig1.jpg
case_images: PMC10170589_01_10.1177_23247096231173397-fig1.jpg
case_images: fig1-23247096231173397
case_images: Transthoracic echocardiogram showed severe tricuspid regurgitation and tricuspid valve vegetation with normal ejection fraction (Figure 1 and Supplemental Video 1).
case_images: Tricuspid valve tissue pathology, significant for smooth muscle neoplasm consistent with benign metastasizing leiomyoma.
case_images: 10.1177_23247096231173397-fig2.jpg
case_images: PMC10170589_01_10.1177_23247096231173397-fig2.jpg
case_images: fig2-23247096231173397
case_images: Microscopically (Figure 2), it was smooth muscle neoplasm without significant nuclear atypia and no identifiable mitosis or necrosis.