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Intraoperative findings demonstrate all three PV leaflets are abnormally thickened and shortened (asterisks), and the commissures (blue arrowheads) are fused (A). The TV leaflets are also abnormally thickened and retracted (B). TV repair using autologous pericardial patch augmentation was performed (C). ATL, Anterior tricuspid leaflet; PTL, posterior tricuspid leaflet; STL, septal tricuspid leaflet.
