Abstract
An aged pensioner with a history of exertional dyspnea and severe aortic stenosis underwent uneventful J-type upper hemisternotomy with direct trans-aortic transcatheter aortic valve replacement (TAVR) of a 23-mm Edwards valve. Planned for review at 3 months, she returned 4 weeks early complaining of lethargy with no features of cardiac failure. Echocardiography revealed …
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