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What was the cause of the diastolic murmur in the patient with the ventricular septal defect?

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What was the cause of the diastolic murmur in the patient with the ventricular septal defect?

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The diastolic murmur in the patient with the VSD was the result of the large volume of blood, produced by the left-to-right shunt, returning from the lungs to the left atrium and flowing across the mitral valve.

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