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Figures legends:
Figure 1. Transthoracic echocardiography. A: four chamber view showed
apical displacement of all three tricuspid valve leaflets with no
anterior leaflet elongation. B: Parasternal short axis view showed
apical non compaction of left ventricle as an associated anomaly.
Figure 2. Anteroposterior chest X ray. Note increased cardiothoracic
ratio due to enlarged right ventricle and also right atrium due to
Ebstein anomaly and severe tricuspid regurgitation.
Figure 3. Electrocardiogram showed narrow QRS with first degree AV
block. Note Q wave in II and aVF
Figure 4. CMR image demonstrates apical displacement of all tricuspid
valve leaflets. A, B, C, and D show anterior tricuspid valve (yellow
arrows), septal tricuspid (green arrow), and posterior tricuspid valve
(thick pink arrows) displacement. The Redline depicts the approximate
level of the mitral valve. E. Two-chamber cine function shows
non-compaction LV