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A 29-year-old female with a past medical history significant for intravenous drug abuse (IVDA), presented to the emergency room with complaints of fever, chills and shortness of breath. On initial assessment, patient was febrile (38.3 °C/101 F) and tachycardic (110/min). Auscultation revealed a pansystolic murmur most prominent at the right fourth intercostal space. Transoesophageal echocardiography (TEE) was done considering her high-risk behaviour and cardiac findings (Fig. 1). What is the diagnosis?
TEE (transoesophageal echocardiography) with a 4 chamber view
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K.K. Sahu, A. Doshi, A.K. Mishra and M. Kranis declare that they have no competing interests.
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Sahu, K.K., Doshi, A., Mishra, A.K. et al. A female with five chambers. Neth Heart J 28, 171 (2020). https://doi.org/10.1007/s12471-019-01338-4
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DOI: https://doi.org/10.1007/s12471-019-01338-4