oa SA Heart - Given a repeat coronary angiogram - image in cardiology

Volume 16 Number 1
  • ISSN : 1996-6741
  • E-ISSN: 2071-4602



A 22-year-old lady presented to the outpatient department with new onset dyspnoea and effort intolerance. She had a prior history of successful mitral valve repair 5 years previously for symptomatic severe mitral regurgitation, secondary to myxomatous mitral valve prolapse. Clinical examination revealed an undisplaced apex with a parasternal heave (suggestive of right ventricular hypertrophy) and a soft ejection systolic murmur in the pulmonary area.

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