What is the best diagnosis for this patient based on the current - TopicsExpress

What is the best diagnosis for this patient based on the current findings? Vignette: A 42-y.o. female is admitted to the hospital for bouts of syncope and dyspnea. 10 years ago she had undergone mitral valve replacement. X-ray shows an enlarged heart with Kerly B lines. Echocardiogram revealed left atrial pressure is greater than the left ventricular pressure toward the end of diastole. Course crackles are heard in the lower lung field. #usmle #usmleagle

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