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A patient (age 70s) presented with gradual exacerbation of chronic heart failure symptoms. The patient had a history of myocardial infarction of inferior wall and failed attempt of primary right coronary artery angioplasty 2 years earlier. On admission, auscultation revealed the presence of loud pansystolic murmur. Transthoracic echocardiographic examination showed …
Competing interests None.
Provenance and peer review Not commissioned; not externally peer reviewed.
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