Vegetation on tricuspid valve – echocardiographic image

Vegetation on tricuspid valve

Vegetation on tricuspid valve seen on echocardiography from a modified apical four chamber view. LV: left ventricle; LA: left atrium; RV: right ventricle; RA: right atrium. In live echo imaging, the vegetation will show an motion pattern independant of the movement of the tricuspid leaflet. Tricuspid valve endocarditis with vegetation is seen in intravenous users or occasionally in those with a central venous catheter for a long period.

Flail septal leaflet of tricuspid valve

Repeat echo at a later date after antibiotic treatment showing regression of vegetation and a flail septal tricuspid leaflet pointing towards the right atrium. Flail leaflet is a result of rupture of the chordae tendinae and causes tricuspid regurgitation.

Tricuspid regurgitation jet

Severe tricuspid regurgitation seen as a bluish mosaic (multi-color) jet from right ventricle to right atrium in systole. The mitral valve can be seen in the closed position between left ventricle and left atrium indicating that it is a systolic frame.