Figure 1: Diagnostic Echocardiography A. Tricuspid valve with vegetation and severe tricuspid regurgitation B. Ventral septal defect secondary to infective endocarditis C. Patient status post tricuspid valvectomy with D. Free tricuspid regurgitation from valvectomy E. Patient status post tricuspid valve replacement with valve coaptation F. Repaired ventral septal defect with no evidence of leakage