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Congenital heart disease
Image challenge
Acute heart failure with new-onset continuous murmur in a 26-year-old man

https://doi.org/10.1136/heartjnl-2017-312506

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    Footnotes

    • C-WH and T-WL contributed equally.

    • Contributors All authors have substantial contribution to the manuscript.

    • Funding The study was funded by the National Cheng Kung University Hospital (10.13039/501100004844), grant number NCKUH-10603019.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Ethics approval The study was approved by the Institutional Review Board (IRB) of National Cheng Kung University Hospital A-EC-107001.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Correction notice Since this image challenge was first added online the IRB approval ID has been added in the footnotes.