A 54‐year‐old male was found to have neuroendocrine carcinoma with hepatic metastasis. Two‐dimensional (2D) transthoracic echocardiography (TTE) demonstrated dilated right ventricle and right atrium, and severe tricuspid and pulmonary regurgitation.… Click to show full abstract
A 54‐year‐old male was found to have neuroendocrine carcinoma with hepatic metastasis. Two‐dimensional (2D) transthoracic echocardiography (TTE) demonstrated dilated right ventricle and right atrium, and severe tricuspid and pulmonary regurgitation. Three‐dimensional (3D) TTE en‐face views showed thickened, retracted, and fixed tricuspid valve and pulmonic valve which remained widely open throughout the cardiac cycle. 3D TTE, particularly en‐face views, demonstrates incremental value over 2D TTE by providing precise valvular anatomic details comparable to surgical findings. 3D TTE also offers a unique opportunity to assess all four valves simultaneously with en‐face views to delineate their relationships with surrounding structures.
               
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