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Valve replacement for appetite suppressant–induced valvular heart disease  Shankha S Biswas, MD, Carolyn L Donovan, MD, Joseph M Forbess, MD, Stephen H.

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Presentation on theme: "Valve replacement for appetite suppressant–induced valvular heart disease  Shankha S Biswas, MD, Carolyn L Donovan, MD, Joseph M Forbess, MD, Stephen H."— Presentation transcript:

1 Valve replacement for appetite suppressant–induced valvular heart disease 
Shankha S Biswas, MD, Carolyn L Donovan, MD, Joseph M Forbess, MD, Stephen H Royal, MD, Kevin P Landolfo, MD  The Annals of Thoracic Surgery  Volume 67, Issue 6, Pages (June 1999) DOI: /S (99)

2 Fig 1 Transesophageal echocardiogram demonstrating (A) marked mitral annulus dilatation with moderate restriction of the posterior mitral valve leaflet and (B) resultant severe mitral regurgitation. (AMVL = anterior mitral valve leaflet; LA = left atrium; LV = left ventricle; PMVL = posterior mitral valve leaflet.) The Annals of Thoracic Surgery  , DOI: ( /S (99) )

3 Fig 2 Low-power magnification of the mitral valve demonstrating leaflet thickening and chordal encasement (dark red) by fibroproliferative surface lesions. (Lawson elastic–van Gieson; ×4 before % reduction.) The Annals of Thoracic Surgery  , DOI: ( /S (99) )

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