Fig. 2

TTE showed signs of ventricular septal defect associated with aneurysm of the membranous septum, patent foramen ovale, mild pulmonary hypertension and severe tricuspid regurgitation with multiple irregular vegetations (larger about 24.5 mm × 8.3 mm and 22.7 mm × 0.69 mm) on the right ventricular side of the ventricular septal defect and on the tricuspid valve leaflets