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Echocardiogram showing echocardiographic clips: (a) two-dimensional apical 4-chamber view showing tricuspid valve leaflet perforation (arrow) with possible chordal disruption, (b) color Doppler image of apical 4-chamber view showing tricuspid regurgitation (blue jet), (c) two-dimensional parasternal long-axis view showing tricuspid valve leaflet perforation (arrow), and (d) color Doppler image of parasternal long-axis view showing tricuspid regurgitation (blue jet).
