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TEE (midesophageal 4-chamber view) showing RV dilation and failure

TEE (midesophageal 4-chamber view) showing RV dilation and failure
In this video we see a severely hypokinetic and dilated right ventricle that is nearly twice the size of the left ventricle. Note the codominance of the RV with the LV apex. Also note the severe bowing of the interatrial and interventricular septum toward the left throughout the cardiac cycle, suggesting severe pressure and volume overload.
4CV: 4-chamber view; LV: left ventricular; ME: midesophageal; RV: right ventricular; TEE: transesophageal echocardiography.
Graphic 114116 Version 2.0

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