We present a scenario with multiple valvular pathologies where the next management step was unclear. 79-year-old women with history of moderate aortic stenosis presented with progressively worsening dyspnea and dizziness… Click to show full abstract
We present a scenario with multiple valvular pathologies where the next management step was unclear. 79-year-old women with history of moderate aortic stenosis presented with progressively worsening dyspnea and dizziness for 1 week. Physical examination was remarkable for 4/6 systolic murmur
               
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