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Synergistic anticoagulation and transoesophageal echocardiographic surveillance for persistent left atrial appendage thrombus
  1. A R J Mitchell,
  2. J Timperley,
  3. A P Banning
  1. mitcharj@doctors.org.uk

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A 49 year old woman was referred for consideration of percutaneous mitral valve commissurotomy caused by symptoms of worsening exertional breathlessness. She had a long history of rheumatic mitral stenosis complicated 10 years previously by a left parietal lobe embolic stroke …

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