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Figure 1 | Journal of Cardiothoracic Surgery

Figure 1

From: Successful surgical management of pace-marker induced infective endocarditis under the guidance of real-time three-dimensional trans-esophageal echocardiogram

Figure 1

TEE image of this patient with pacemaker induced endocarditis of tricuspid valve. Upper panel: Mid-esophageal four chamber and aortic valve short axis views showed a mass attaching to the tricuspid valve. Lower panel: RT3D TEE confirmed highly mobile vegetation attached to posterior and septal leaflet of the tricuspid valve which was originated from pacemaker lead. During systolic phase (Left panel) the vegetation was protruding into right atrium, during diastolic phase (Right panel) the vegetation was moving back to right ventricle with tricuspid valve indicating the vegetation was attach to the tricuspid valve.

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