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53 y/o woman with a Hx of MVP, has now developed exertional


By HL - Posted on 29 June 2004

53 y/o woman with a Hx of MVP, has now developed exertional dyspnea, orthopnea, and AF. She has an apical, high-pitched, holosystolic heart murmur that radiates to the axilla and back. Which of the following is the most appropriate procedure?
A. Aortic valve replacement
B. Mitral commissurotomy
C. Mitral valve annuloplasty
D. Mitral valve replacement
E. Both aortic and mitral valve replacement


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