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Division of Cardiothoracic Surgery, Department of Surgery, Barnes-Jewish Hospital, Washington University in St. Louis, St. Louis, Missouri
* Address correspondence to Dr Kreisel, Division of Cardiothoracic Surgery, Campus Box 8234, 660 South Euclid Avenue, St. Louis, MO 63110 (Email: kreiseld@wudosis.wustl.edu).
| The first 20% of the full text of this article appears below. |
A 35-year-old female presented with the complaints of a persistent headache and chest pain. In addition, worsening shortness of breath and night sweats had been noted over the previous several months. The majority of her life was spent in the Midwestern United States and she denied any significant recent travel history. Her physical exam was unremarkable. A head
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