Abstract
We report the case of a 58-year-old patient with history of mechanical mitral valve replacement 1 year ago due to Staphylococcus aureus endocarditis that resulted in severe mitral regurgitation. During follow-up, he had progressive heart failure symptoms, New York Heart Association class III, with severe hemolytic anemia. Transthoracic echocardiography revealed mildly dilated left ventricle and dilated left atrium with evidence of severe mitral paravalvular leak (PVL) and severe aortic regurgitation (AR).
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