(A–C) Echocardiography revealed a dilated right atrium and ventricle, moderate tricuspid regurgitation and M-mode echocardiography revealed an akinetic.

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(A–C) Echocardiography revealed a dilated right atrium and ventricle, moderate tricuspid regurgitation and M-mode echocardiography revealed an akinetic mid-right ventricular free wall with a hyper contractile right ventricular apex (McConnell's sign). (A–C) Echocardiography revealed a dilated right atrium and ventricle, moderate tricuspid regurgitation and M-mode echocardiography revealed an akinetic mid-right ventricular free wall with a hyper contractile right ventricular apex (McConnell's sign). Soumya Patra et al. BMJ Case Reports 2014;2014:bcr-2013-200799 ©2014 by BMJ Publishing Group Ltd