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Complete dehiscence and unseated prosthetic aortic valve causing severe aortic insufficiency: an unusual complication of prosthetic valve endocarditis
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  1. Rama K Krishna,
  2. Paola Casanova,
  3. Maiteder Larrauri-Reyes,
  4. Orlando Santana
  1. Division of Cardiology, Columbia University, Mount Sinai Medical Center, Miami Beach, Florida, USA
  1. Correspondence to Dr Orlando Santana, orlando.santana@msmc.com

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Images of a female patient's status post bioprosthetic aortic valve replacement with aortic root sparing and mitral valve repair. She presented with shortness of breath and low-grade fever 3 months after surgery. Transthoracic echocardiography (TTE) showed a freely mobile and rocking prosthetic aortic valve, totally dislodged and seeming to be stuck at the sinotubular level (figure 1), with a severe paravalvular leak causing aortic insufficiency …

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