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Transthoracic echocardiography at the time of diagnosis of severe tricuspid regurgitation (TR) showing (A) dilated right ventricle, (B) severe TR (arrow) on a color Doppler image, and (C–D) moderately increased pulmonary artery systolic pressure of 59 mmHg with inferior vena cava plethora. IVC = inferior vena cava, LA = left atrium, LV = left ventricle, RV = right ventricle; asterisk = pleural effusion.
