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Severe mitral regurgitation caused by annular abscess fistulating into the left atrium
  1. P-S Wong,
  2. H Yang,
  3. L H Ling
  1. mdcllh@nus.edu.sg

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A 14 year old girl was referred for management of Staphylococcus aureus endocarditis, severe mitral regurgitation, and congestive heart failure. She had received chemotherapy for left femoral osteosarcoma diagnosed four months earlier. Transthoracic echocardiography showed a large pericardial effusion and a 20 × 5 mm sausage shaped vegetation on the posterior mitral leaflet with severe mitral regurgitation (upper panels). Following …

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