Test Yourself

Case 1

HISTORY

Patient was an intravenous drug user who had tricuspid regurgitation from previous endocarditis, who presented with fevers and hypotension. A systolic murmur was audible on auscultation

ULTRASOUND FINDINGS

The right ventricular inflow view shows an echogenic mass (vegetation) attached to the anterior leaflet of the tricuspid valve. Color Doppler demonstrates the tricuspid regurgitation.

DISCUSSION

Blood cultures grew Staph Aureus. Note that the non-visualization of vegetations, particularly by transthoracic echocardiography does not exclude endocarditis.

SUBMITTED BY

Adrian Goudie


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Tricuspid valve

Right ventricular inflow view of tricuspid valve. Echogenic mass seen on the anterior leaflet of the tricuspid valve
Tricuspid valve Tricuspid Valve half speed Tricuspid Valve color Doppler