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Perforated mitral valve leaflet
  1. J Pemberton,
  2. T Irvine,
  3. A Kenny
  1. antoinette.kenny{at}ncl.ac.uk

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A 40 year old man presented with general malaise, pyrexia, and microembolic phenomena. Blood cultures were positive for α haemolytic streptococcus. A transthoracic echocardiogram showed several small masses on the aortic valve …

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