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Perforated aortic valve leaflets
  1. R Lowe,
  2. D R Ramsdale,
  3. N Mediratta
  1. drrclowe@aol.com

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A 59-year-old woman with intractable left heart failure caused by severe aortic regurgitation underwent emergency aortic valve replacement. She had originally presented four months earlier with dyspnoea, pyrexia (38.8°C) and signs of pneumonia. Blood cultures were not taken and she was treated with intravenous antibiotics. After four weeks her dyspnoea improved but …

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