A 72-year-old woman with severe aortic stenosis, moderate mitral stenosis, moderate mitral regurgitation, and hypertrophic cardiomyopathy (HCM) presented for aortic and mitral valve replacement, as well as septal myectomy. Severe left ventricular hypertrophy was observed in preoperative echocardiography with a preserved ejection fraction of 65%. Ad
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