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Mitral valve “kissing” vegetation
  1. S Bhattacharyya,
  2. M Hickman,
  3. D Lythall

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A 56 year old accountant presented with a 3 month history of worsening breathlessness, fever, anorexia, and weight loss. He had no past medical history of note. On examination he was tachycardic with a pulse rate of 120 beats per minute, in overt left ventricular failure with a grade II early diastolic …

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