Abstract
A 63-year-old man with a history of chronic heart failure due to non-ischaemic cardiomyopathy presented with dyspnoea, peripheral oedema, chest pain, and a new systolic heart murmur. A pacemaker had been implanted 18 years ago because of a symptomatic sick sinus syndrome. Surgical mitral valve reconstruction was done 3 years ago for progressive mitral regurgitation. At that time coronary …
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