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A 44-year-old woman who has rheumatic heart disease with aortic stenosis undergoes valve replacement with abioprosthesis. She remains stable for the next 8 years

A 44-year-old woman who has rheumatic heart disease with aortic stenosis undergoes valve replacement with abioprosthesis. She remains stable for the next 8 years and then develops diminished exercise tolerance. Which of the following complications involving the biopros thesis has most likely occurred? (A) Paravalvular leak (B) Stenosis (C) Hemolysis (D) Embolization (E) Myocardial infarction

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