Figure legends
Figure 1. Electrocardiogram. Electrocardiogram showed sinus tachycardia, right axis deviation and right ventricle strain pattern (qR in V1 and T inversion V1-V6).
Figure 2. Chest X ray. Chest X ray showed significant cardiomegaly, RV enlargement and prominent main of PA and left PA without evidence of pulmonary venous congestion.
Figure 3. Spiral chest computed tomography (CT). Chest CT showed evidence of previous COVID-19 involvement with ground glass appearance and air trapping in both lungs and also cardiomegaly and large size pericardial effusion.
Figure 4. Transthoracic echocardiography (TTE) before surgery.TTE showed severe RV enlargement with severe RV systolic dysfunction, right atrial (RA) enlargement, abnormal interventricular septal motion, severe TR, enlargement of IVC size, massive pericardial effusion and mobile mass in distal right ventricular outflow tract (RVOT) extended to main PA and has attachment to pulmonary valve (PV).