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A 69-year-old woman who had Starr Edwards mechanical mitral valve replacement in 1970 had developed progressive aortic stenosis over the past 2 years and became very symptomatic (NYHA III) with severe aortic stenosis with an aortic valve area of 0.8 cm2. Pulmonary arterial pressure was elevated to …
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Patient consent Obtained.
Provenance and peer review Not commissioned; not externally peer reviewed.
▸ Additional videoclip published online only at http://heart.bmj.com/content/vol95/issue23
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