Figure legends:
Figure 1 TTE and TEE at presentation; A. Thickened bioprosthetic valve
leaflets (yellow arrows) in two perpendicular views by x-plane mode. B.
Considerably Increased transvalvular bioprosthetic tricuspid valve
gradients (mean gradient: 11 mmHg). C. Significantly increased
bioprosthetic tricuspid Valve pressure half time (618 msec).
Abbreviations: RA= right atrium, RV= right ventricle
Figure 2 TTE and TEE after thrombolysis A. Thinning of tricuspid
bioprosthetic leaflets (yellow arrows) B. decreased transvalvular
bioprosthetic tricuspid valve gradients (Mean gradient: 5 mmHg).
Abbreviations: RA= right atrium, RV= right ventricle
Figure 3 Three-dimensional reconstruction of bioprosthetic TV valve from
the right atrial side views A. Thickening and decreased maximum opening
of tricuspid bioprosthetic valve leaflets at presentation (Thick white
arrows point to three tricuspid valve leaflets) B. improvement of
bioprosthetic tricuspid valve opening and relief of thickening after
thrombolysis (Thin white arrows point to three tricuspid valve
leaflets).
Supporting information: additional supporting information may
be found online in the supporting information section.
Movie S1. Transesophageal echocardiography at presentation in two
perpendicular planes. note the considerable thickening and limited
motion of bioprosthetic tricuspid valve leaflets.
Movie S2. Transesophageal echocardiography following thrombolysis. Note
the thinning of leaflets and improvement of motion.
Movie S3. Three-dimensional reconstruction of bioprosthetic TV valve
from the right atrial side views at presentation, thickening of all
leaflets with a decreased opening orifice.
Movie S4. Three-dimensional reconstruction of bioprosthetic TV valve
from the right atrial side views following thrombolysis, thinning of
leaflets with an improved opening orifice.