Abstract

An asymptomatic 35-year-old male was referred for echocardiography due to an abnormal ECG. Two-dimensional transthoracic echocardiogram (2D TTE) showed a displacement of the septal leaflet of the tricuspid valve towards the apex ( Panel A1 ). The diagnosis of Ebstein's anomaly was established. The 2D TTE study suggested the existence of a double-orifice tricuspid valve ( Panel A2 ; Supplementary data online, Movie S1 ) with mild tricuspid regurgitation across both orifices ( Panel A3 ; Supplementary data online, Movie S2 ). Three-dimensional transthoracic echocardiogram (3D TTE) was performed to more accurately define the valve structures …

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