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A 48-year-old man presented with progressive exertional dyspnea, lethargy, and intermittent fever. He had undergone resection of subvalvular aortic stenosis at 12 years of age and subsequent resection of residual subaortic stenosis at 24 years of age when an apical vent had been placed in the left ventricle (LV) and closed with a pledgeted suture. The(More)
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