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A 68-year-old man was admitted as an emergency to a private hospital after becoming acutely dyspnoeic while out walking. Clinical examination and chest X-ray confirmed acute pulmonary oedema. Six weeks prior to admission he had undergone a bioprosthetic aortic valve replacement for severe aortic regurgitation. An urgent transthoracic echocardiogram revealed an aorto-left …
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