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Low output, low gradient aortic stenosis
  1. P MacCarthy,
  2. A Berger,
  3. B de Bruyne
  1. philip{at}

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We recently investigated a 47 year old man with increasing dyspnoea of effort (New York Heart Association functional class IV) who had undergone homograft aortic valve replacement seven years previously. At cardiac catheterisation, the epicardial coronary arteries were angiographically normal. The left ventricle was dilated (end diastolic volume index 134 ml/m2) and the ejection …

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