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We report a rare case of ovarian hyperstimulation syndrome OHSS in a 28 year old woman with breast cancer and with a history of polycystic ovary syndrome PCOS despite treatment with letrozole and gonadotropin releasing hormone agonist GnRH a triggering in a GnRH antagonist GnRH ant protocol without the administration of any human chorionic gonadotropin hCG for luteal phase support <a href=http://vardenafil.top>prix levitra medicament</a> She was extubated on the following day and eventually underwent percutaneous transvenous mitral commissurotomy PTMC, due to the Wilkins score, which was lower than 8