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Figure 1. Severe tricuspid regurgitation developed in a 32-year-old man after he had undergone repair of tetralogy of Fallot. After the tricuspid valve was replaced with a Carpentier–Edwards bioprosthetic valve, critical tricuspid stenosis developed that was accompanied by severe venous hypertension and jugular venous distention (arrow in Panel A). Anteroposterior chest radiographs showed severe cardiomegaly (Panel B) and calcification of the three tricuspid leaflets (arrow in Panel C) within the valve stents (the epicardial pacing wires are also apparent). A two-dimensional echocardiogram showed marked right atrial dilatation with bowing of the interatrial septum into a small left atrium (arrow . . . [Full Text of this Article] |
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