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Main stem subocclusion shortly after aortic valve replacement
A 58 year old woman was referred to our centre for aortic valve replacement because of a severe symptomatic aortic stenosis. She had no coronary risk factors. Rest ECG showed complete left bundle branch block. Coronary angiography showed normal coronary anatomy (fig 1) . The gradient over the aortic valve could not be measured because of repetitive iatrogenic induction of ventricular tachycardia on inserting the catheter into the left ventricle. Non-invasive evaluation showed an echo Dopplerdoi:10.1136/hrt.80.5.530 fatcat:ndiysqqurbfobcelqwsxngs73e