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A 28-years-old woman presented with dyspnoea for the last 18 months. On examination, her heart rate was 90 beats/min, blood pressure 100/70 mm Hg. Jugular venous pressure was raised with prominent ‘a’ waves. Precordial examination revealed grade 5/6 ejection systolic murmur in left 2nd and 3rd intercostal space. The 12-lead ECG revealed right ventricular hypertrophy with right axis deviation. Two-dimensional echocardiographic and Doppler examination revealed quadricuspid aortic …
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