A 20-year-old female, with history of mitral valve replacement presented with recent onset breathlessness.Cine fluoroscopy showed hp pavilion 15-eg1053cl restricted leaflet mobility.Since she was in pulmonary oedema and there was no cardiothoracic surgery backup, she was immediately thrombolysed with tenecteplase 60 mg (1 mg/Kg) intra venous bolus.
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