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A 26-year-old man with a history of effort-induced syncopal attacks was found to have Ebstein's anomaly. A cardiac catheterization revealed a pressure gradient of 75 mmHg between the left ventricle and the left ventricular outflow tract which was caused by mitral accessory tissue. The accessory tissue was resected, the aortic valve was replaced, and the Ebstein's anomaly was corrected. The degree...
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