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Figure 2: Transthoracic 2D echocardiography showed biatrial and RV enlargement, severe mitral stenosis with thickened anterior and posterior mitral leaflets, a large ASD with bidirectional flow. Arrows indicating thickened mitral leaflets, ostium secundum ASD and Ebstein's anomaly of tricuspid valve

Figure 2: Transthoracic 2D echocardiography showed biatrial and RV enlargement, severe mitral stenosis with thickened anterior and posterior mitral leaflets, a large ASD with bidirectional flow. Arrows indicating thickened mitral leaflets, ostium secundum ASD and Ebstein's anomaly of tricuspid valve