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TEEintraoppreopME4CV2D
Short case presentation
28 yo female with history of Noonan's Syndrome, severe tricuspid regurgitation and an atrial septal defect (left to right shunt ratio 1.6). She presents for tricuspid valve repair/replacement and closure of the atrial septal defect. She has been having increasing shortness of breath.

What is your assessment of the echocardiographic study?
Please review the cause of her tricuspid regurgitation.
Please review the cause of her left to right shunt.