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1) This is a series of x-ray cines from a woman who had had an aortic (AV) and mitral valve (MV) replacement. The patient was not doing well post operatively and a high gradient across her aortic valve was suspected. This series of x-ray cines was done to determine if both leaflets of the aortic valve where moving properly. The first clip shows the mitral valve(MV) with both leaflets (ML) working well. |

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2) The clip blow is a view of the aortic (AV) and mitral (MV) showing movement of one of the leaflets in both valves. |

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3) The clip below is a view of the aortic (AV) and mitral (MV) showing movement of both of the leaflets in mitral valve and one immobile leaflet in the aortic valve. |

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4) The clip below is another view of the aortic and the mitral (MV) showing the immobile leaflet (AL) in the aortic valve. |

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The patient was re-operated on and did well. A tissue ingrowth was found obstructing one of the aortic valve leaflets. |
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