Case 19

Amplatzer device
Courtesy of: AMC Echolab, AMC, The Netherlands
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PLAX: right ventricle dilatation in patient with Amplatzer device	PSAX: dilated right ventricle
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<html5media height="350" width="279" autoplay="true" loop="true">File:E00189.mp4</html5media>	<html5media height="350" width="279" autoplay="true" loop="true">File:E00190.mp4</html5media>
A4CH: Amplatzer in situ	A4CH: Color Doppler signal shows moderate tricuspid regurgitation and rest ASD
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Continuous-wave Doppler signal of moderate tricuspid regurgitation, peak gradient 35 mmHg