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Mr Sontash is a 75 year old man who has a previous history of a right ventricular myocardial infarction. He presents with dyspnoea and peripheral oedema. On examination, he has an elevated jugular venous pressure with a prominent v wave. On auscultation, he has a high-pitched pansystolic murmur.

Based on the likely diagnosis, which option is the least correct?

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