A 40 year-old male presented with a long history of increasing dyspnoea on exertion, associated with a reduced exercise tolerance of 200 yards. He had no history of rheumatic fever or infective endocarditis. Clinical examination revealed a pan-systolic murmur (with late systolic accentuation) that radiated into the axilla.
KeywordsBi-leaflet prolapse Systolic anterior motion (SAM) Gore-Tex neo-chordae Leaflet height reduction Leaflet resection Alfieri edge-to-edge technique Barlow’s disease Myxomatous degeneration Ring annuloplasty Mitral regurgitation
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