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Chirurgie si retentissement sur le VG (≥ 1 critère) : DTS du VG > 40 mm et rupture de cordage ; FEVG ≤ 60% ; PAP systolique ≥ 50 mmHg ; FA OU dilution OG > 60 mL/m2 Dans les autres cas : echo-doppler 1x / 6mois à chirurgie si retentissement, symptômes ou FA

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