Abstract
A rare case of tricuspid insufficiency due to bacterial endocarditis in association with a previously asymptomatic atrial septal defect is presented. Intense cyanosis, polycythemia and clubbing of digits were the major presenting clinical features. The classic physical findings of tricuspid insufficiency were not present. Hemodynamic data, blood gas analysis, and cine-angio-graphic studies are included. Surgical correction of the cardiac defects was successful.
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