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Perivalvar abscess of the mitral valve annulus with perforation owing to infective endocarditis
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A 74 year old man presented with unstable angina and moderate aortic stenosis. He had an aortic valve replacement (Carpentier Edwards 19 mm porcine valve) and three reversed saphenous vein grafts to the first obtuse marginal, left anterior descending, and right coronary arteries. …