Figure 2.

(A) Color doppler ultrasonography showing mild mitral valve reflux. (B) Tissue doppler imaging showing tricuspid valve regurgitation, high pulmonary artery systolic blood pressure and reduced diastolic left ventricular function. The parameters of cardiac function were as follows: Right ventricular internal dimension in diastole, 26.1 mm; intraventricular septum in diastole, 7.6 mm; left ventricular internal dimension-in diastole, 43.1 mm; left ventricular posterior wall dimension, 7.6 mm; left ventricular internal dimension in systole, 23.4 mm; heart rate, 84 bpm; aorta, 23.1 mm; left atrium, 32.5 mm; fractional shortening, 45.7%; ejection fraction, 77.4%).