AV and MV Mass

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TEEIntraOpME3CV2D
Short case presentation
56 yo male with history of acute onset shortness of breath, dyspnea on exertion, and fever. He had a history of remote smoking history, emphysema (mild), and SVT. Currently his resting HR is 117. He exhibited poor dentition and positive streptococcus blood cultures.

Discuss the echocardiographic findings and your recommendations of repair or replacement of the valves.