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Tricuspid valve rheumatic analysis. (A) Macroscopy: the tendinous cords are thickened, fused, and retracted (lack of intercordal spaces), and the anteroseptal commissure is fused. The leaflets show thickening of the free edges. (B) 3D echocardiography (right atrial view). Demonstration of lack of coaptation leading to an important regurgitation. S, septal cusp; A, anterior cusp; P, posterior cusp.
