Figure 3. Transthoracic echocardiogram showing tricuspid flow reversal during right ventricular systole consistent with tricuspid regurgitation. Also right atrial and right ventricular dilation may be noted

From

Right Heart Failure as “Sole” Presentation of Carcinoid Syndrome

Pramod Theetha Kariyanna, Mirela Andrei, Cherif Abdelmalek, Ajay Kundra, Boris Avezbakiyev, James E. O’Donnell, Alexander Rozin

American Journal of Medical Case Reports. 2016, 4(8), 265-271 doi:10.12691/ajmcr-4-8-5