Abstract

A 57-year-old man, with a history of liver cirrhosis due to chronic hepatitis C infection in the setting of intravenous drug abuse, was admitted to the intensive care unit with haematemesis. He was successfully treated for oesophageal and gastric varices for which injection with cyanoacrylate and placement of multiple hemoclips. Two weeks later, the patient experienced acute dyspnoea. Transthoracic echocardiography showed a normal left ventricular function without elevated filling pressures and no signs of right ventricular pressure overload (Figure 1). However, a mobile mass attached to the tricuspid subvalvular apparatus was seen. ... ... W.L. and S.G. contributed equally to this article. None declared.

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