Images in clinical medicine. Prosthetic-valve dehiscence.

n engl j med 362;7 nejm.org february 18, 2010 e20 A 33-year-old man with rheumatic heart disease presented with an acute onset of chest pain. Five years earlier, the patient had undergone replacement of the mitral and aortic valves (Bjork–Shiley and ATS Medical, respectively). On physical examination, he had diaphoresis with normal vital signs and without… CONTINUE READING