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Clapping atrio-ventricular valves
  1. Nagendra Boopathy Senguttuvan,
  2. Kewal C Goswami
  1. 1Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Professor Kewal C Goswami, Department of Cardiology, All India Institute of Medical Sciences, New Delhi 110029, India; drkcgoswami{at}

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We describe a 30-year-old male who presented with progressively increasing effort intolerance since his adolescence. On examination, he was cyanosed with a pulse rate of 50 /min. He was found to have a localised, grade 2/6 …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.