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A 75-year-old woman had acute rheumatic fever at age 5. In 1986, at the age of 52, she underwent Medtronic-Hall mechanical aortic and mitral valve replacements for severe stenosis. In 1998, she required Hancock-bioprosthetic tricuspid valve replacement …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; not externally peer reviewed.