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D‐shaped left ventricle defined as eccentricity index at end‐diastole ≥1.2 was an important surrogate for poor hemodynamic status and was independently associated with outcome in patients with severe tricuspid regurgitation. What Are the Clinical Implications?The left ventricle becomes D-shaped, which is a sign of increased preload in the right ventricle (RV) displacing the septum toward the left. Septal flattening is best appreciated in the short-axis view at the level of papillary muscles (basal or .
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