Abstract

A 65-year-old woman, with a history of rheumatic valvulopathy and mitral-aortic replacement surgery in 1983, was referred to our center by her cardiologist. She presented with severe tricuspid regurgitation and was sent to us to be considered for valvular surgery. At the point of admittance to the center, the patient had signs of right heart failure and cachexia, and she had a lower left sternal border pansystolic murmur. The electrocardiogram showed atrial fibrillation and right bundle branch block.

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