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A subtle sign of aortic outflow obstruction in an infected 29 year old Starr-Edward's valve
  1. E F AKOWUAH,
  2. C V P ONYEAKA,
  3. G J COOPER
  1. mail@grahamcooper.freeserve.co.uk

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A 70 year old man had a Starr-Edward's aortic valve prosthesis inserted in 1970 for aortic stenosis. He presented 29 years later with enterococcus septicaemia, acute renal failure, and cardiac failure requiring ionotropes.

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Transoesophageal echocardiography (TOE) showed no evidence …

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