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An unusual cause of sudden dyspnoea
  1. Tawfiq R Choudhury1,
  2. Sundeep Puri2
  1. 1Department of Cardiology, Manchester Royal Infirmary, Manchester, UK
  2. 2Department of Cardiology, Tameside General Hospital, Ashton-under-Lyne, UK
  1. Correspondence to Dr Tawfiq R Choudhury, Department of Cardiology, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK; tawfiqc{at}

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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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