Abstract
A 33-year-old man noted increasing dyspnea over a period of 6 weeks. Initial evaluation with transthoracic echocardiography demonstrated severe right ventricular dilation and systolic contractile dysfunction along with moderately severe tricuspid valve regurgitation on color Doppler with an estimated right ventricular systolic pressure of 108 mm Hg based on continuous wave Doppler assessment of the tricuspid regurgitant jet (Figure 1 and online-only Data Supplement Movies I and II). Subsequent evaluation for the cause of pulmonary hypertension included contrast-enhanced computed tomography of the chest that demonstrated a …
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