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Optical coherence tomography on the right side: pulmonary vascular disease in mitral stenosis
  1. Elisabete Jorge1,2,
  2. Henrique Faria1,
  3. Cristina Silva1,
  4. Manuel Pan3
  1. 1Serviço de Cardiologia, Hospitais da Universidade de Coimbra, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  2. 2Faculdade de Medicina, Universidade de Coimbra, Coimbra, Portugal
  3. 3Servicio de Cardiología, Hospital Reina Sofia, Córdoba, Spain
  1. Correspondence to Dr Elisabete Sofia Azenha Balhau Jorge, Serviço de Cardiologia, Hospitais da Universidade de Coimbra, Centro Hospitalar e Universitário de Coimbra, Praceta Mota Pinto, Coimbra 3000-075, Portugal; elisabetejorge{at}gmail.com

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A 59-year-old woman presented with a 6-month history of worsening fatigue and exertional dyspnoea. On physical examination, she had a mitral stenosis murmur, a loud P2, an irregular pulse and mild peripheral oedema. The electrocardiogram showed atrial fibrillation and the echocardiogram was notable for a fibro-calcified mitral valve, with severe restriction of leaflet mobility and an area of …

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