case_images: PMC9806487_01
case_images: Electrocardiogram of the patient.
case_images: 10.1177_2050313X221147465-fig1.jpg
case_images: PMC9806487_01_10.1177_2050313X221147465-fig1.jpg
case_images: fig1-2050313X221147465
case_images: T waves, negative QRS complexes), "global negativity," positive QRS in aVR, and absent R-wave progression (Figure 1). Two-dimensional echocardiogram revealed tricuspid valve large vegetation attached to septal leaflets of the tricuspid valve, hypermobile with a high risk of embolization, and other vegetation attached to the lateral leaflet of the tricuspid valve and also dextrocardia and restrictive VSD with a left-to-right shunt.