Forty-five year old woman with valvular heart disease who is recently status post mitral valve reparative surgery

Clinical History 169

Forty-five year old woman with valvular heart disease who is recently status post mitral valve reparative surgery for mitral insufficiency and a septal myectomy for hypertrophic obstructive cardiomyopathy. Her medications included metoprolol, furosemide, warfarin and atorvastatin.
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Fifty-one year old gentleman with rheumatic heart disease status post aortic and mitral valve reparative surgery

Clinical History 97

Fifty-one year old gentleman with rheumatic heart disease status post aortic and mitral valve reparative surgery who represents with anemia and laboratory studies consistent with hemolysis. A repeat echocardiogram demonstrated severe aortic and mitral insufficiency and the patient was referred for repeat cardiac surgery.
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