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Case of the Month

Presenter: Dr. Michael CS CHIANG

Let it Bleed!

Madam Law, a 78-years-old lady, had history of hyperlipidemia and atrial fibrillation. She was referred from family physician for recent onset of decrease exercise tolerance and heart murmur on physical examination. Echocardiogram confirmed severe degenerative aortic stenosis with aortic valve area of 0.7cm2 and mean gradient of 46mmHg. Left ventricular ejection fraction was preserved. Coronary angiogram did not find any significant coronary artery disease.....


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