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Saide Aytekin Yelda Tayyareci Selen Yurdakul Ertan Sağbaş

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Saide Aytekin Yelda Tayyareci Selen Yurdakul Ertan Sağbaş

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Departments of Cardiology,

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Cardiovascular Surgery, Florence Nightingale Hospital, İstanbul, Turkey

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The patient is a 46 year-old male with a prosthetic mitral valve replacement (St Jude, No: 29) who presented four months prior with an acute dyspnea. His INR was 1.7 upon pre- sentation. Transthorac- ic echocardiography re- vealed a mean diastolic transmitral gradient of

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mobile thrombus attached to the posterior mitral leaf- let, which replaced from the left ventricular face to the DWULDOIDFHLQHYHU\GLDVWROH )LJ% 7KHSDWLHQWXQGHU- ZHQWDQRWKHURSHUDWLRQDQGZHREVHUYHGWKDWWKHVWXFN

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