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A patient was admitted for dyspnoea and recurrent fever (39°C) since 3 months. He had a previous history of pulmonary stenosis treated by open-heart commissurotomy in childhood and by pulmonary valve replacement with homograft 12 years ago. Clinical examination found a systolic murmur in the left parasternal area and crepitations at the right base of the lung. Chest X-ray found right lower lobe pneumonia. Transoesophageal echocardiography showed …
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