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Uncommon cause of paradoxical low-flow low-gradient severe aortic stenosis due to pulmonary arterial hypertension

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A 74-year-old female presented with dyspnea [New York Heart Association (NYHA) class IV and 94 % percutaneous oxygen saturation at room air]. She was diagnosed with pre-capillary pulmonary arterial hypertension (PAH) due to connective tissue disease [mean pulm... ...