Abstract
A 26-year-old female presented with left-sided heart failure and severe regurgitation across a mitral valve (MV) bioprosthesis requiring redo MV replacement. Post-operatively dyspnoea developed together with a new diastolic murmur. Transthoracic echocardiography showed supra-annular seating of the mitral bioprosthesis anteriorly, placing the ring at the aortic cusps level. Additionally, diastolic retraction of the aortic valve …
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