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An unusual cause of mixed mitral valve disease
  1. K S Nair,
  2. D R Lawrence,
  3. P L C Smith
  1. s.rhind-tutt{at}

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A 38 year old man presented with orthopnoea, palpitation, and paroxysmal nocturnal dyspnoea. Clinical examination revealed features of pulmonary oedema and mixed mitral valve disease as evidenced by the presence of a mid diastolic and ejection systolic murmur in the …

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