Case Report

Left Main Coronary Artery Compression following Melody Pulmonary Valve Implantation: Use of Impella Support as Rescue Therapy and Perioperative Challenges with ECMO

Figure 3

Transesophageal echocardiography: midesophageal 4 chamber view with emphasis in tricuspid valve at 34°. Continuous wave Doppler assessment of tricuspid valve regurgitation used to calculate right ventricular systolic pressure (RVSP). Note peak pressure gradient of 92 mm Hg.
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