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Caseous necrosis of the mitral annulus: a new feature of drug-induced valvular heart disease? Case series.

Tiphaine LeblonClemence RioletPierre Vladimir EnnezatSylvestre Marechaux
Published in: European heart journal. Case reports (2021)
Prospective follow-up over several years of these two patients who initially had typical DI-VHD findings provided monitoring evidence of extensive calcifications and subsequent caseous necrosis. These reports suggest a link between calcific heart injury and benfluorex exposure. The diagnosis of DI-VHD may be overlooked at this late stage.
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