Tricuspid valve endocarditis on Echocardiogram The anterior leaflet is affected. When in doubt and 3D is not available, we can use the subcostal trick to obtain the en face view of the valve and pinpoint the leaflet. Ivan Stankovic, MD, PhD @Ivan_Echocardio #Tricuspid #valve #endocarditis #Echocardiogram #clinical #cardiology #pocus #a4c