Abstract:A man in his mid-20s with no significant medical history presented with 18 months of progressive dyspnea, abdominal distention, and lower extremity edema. A chest radiograph showed significant cardiomegaly. A transthoracic echocardiogram (Figure 1) revealed a mildly dilated, hypertrophied right ventricle (RV) with normal function and significant right atrial (RA) enlargement (107 cm 2 ). The tricuspid annulus was dilated (48 mm) with severe tricuspid regurgitation. There were no significant abnormalities of th… Show more
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