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A 60-year-old woman with anginal symptoms and effort dyspnoea was referred for coronary arteriography. She had a history of rheumatic heart disease and had aortic valve replacement 37 years ago in South Africa for aortic valve regurgitation. Now she was found to have moderately severe mitral valve stenosis with a calculated orifice of 1.2 cm2 and good function …

Thirty-seven-year follow-up of a ‘less known’ aortic valve prosthesis