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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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