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  Indian J Med Microbiol
 

Figure 2: Transthoracic echocardiography: (a) Apical four-chamber view showing thickened bioprosthetic tricuspid leaflets, markedly dilated right atrium and enlarged left atrium, and (b) continuous wave Doppler across tricuspid bioprosthesis shows elevated gradients and time velocity integral of 86.6 cm (red arrow) (c) apical four-chamber view showing severe mitral regurgitation.

Figure 2: Transthoracic echocardiography: (a) Apical four-chamber view showing thickened bioprosthetic tricuspid leaflets, markedly dilated right atrium and enlarged left atrium, and (b) continuous wave Doppler across tricuspid bioprosthesis shows elevated gradients and time velocity integral of 86.6 cm (red arrow) (c) apical four-chamber view showing severe mitral regurgitation.