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(a) Transthoracic echocardiogram (TTE) 3-chamber showing the Impella CP percutaneous left ventricular assist device (arrows) within the left ventricle (LV). (b) TTE short axis view demonstrating septal flattening (arrows) indicating right ventricular (RV) pressure/volume overload; the RV is dilated as well. (c) TTE M-mode of the tricuspid annulus showing decreased (dashed line) tricuspid annular plane systolic excursion (TAPSE) of 0.73 cm suggesting RV dysfunction.
