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Figure 1: TEE images showing clockwise (a) ATL prolapse, (b) severe TR, (c) R-L shunt across large ASD and (d) a large RA. TEE: Tranesophageal echocardiography, ATL: Anterior tricuspid leaflet, TR: Tricuspid regurgitation, R-L: Right to left, ASD: Atrial septal defect, RA: Right atrium

Figure 1: TEE images showing clockwise (a) ATL prolapse, (b) severe TR, (c) R-L shunt across large ASD and (d) a large RA. TEE: Tranesophageal echocardiography, ATL: Anterior tricuspid leaflet, TR: Tricuspid regurgitation, R-L: Right to left, ASD: Atrial septal defect, RA: Right atrium