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A 69-year-old woman presenting with shortness of breath
  1. Rachel Xuereb1,
  2. Sara Xuereb2,
  3. Robert Xuereb2
  1. 1 Department of Medicine, Mater Dei Hospital, Msida, Malta
  2. 2 Department of Cardiology, Mater Dei Hospital, Msida, Malta
  1. Correspondence to Dr Rachel Xuereb, Department of Medicine, Mater Dei Hospital, Msida, MSD 2090, Malta; rachel.xuereb94{at}

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A 69-year-old Caucasian woman, with a history of hypertension and type 2 diabetes mellitus, presented with exertional dyspnoea. Transthoracic echocardiography (TTE) showed moderate to severe aortic stenosis and moderate aortic regurgitation, with normal left ventricular (LV) systolic function and dimensions. Prior to referral for surgical aortic valve replacement, she underwent cardiac catheterisation including left ventriculography to assess the LV wall motion and function accurately given limited acoustic windows on echocardiography. The coronary arteries were normal and the LV cavity was small. A contrast filled pocket was seen arising from the lateral wall of the left ventricle (LV) (figure 1A). The pocket was contracting in synchrony with the LV …

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  • Contributors All authors contributed to this article. RaX wrote the first draft of the manuscript. SX and RoX were involved in the care of the patient and made revisions to the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

  • Patient consent for publication Obtained.

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