What is the most probably diagnosis?

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A 75 year’s lady who had mitral valve replacement 13 years ago has developed recurrent breathlessness. There is a prominent pulsation in her neck. She complains of abdominal pain and ankle swelling.

What is the most probably diagnosis?
A . Aortic regurgitation
B . Mitral stenosis
C . Tricuspid regurgitation
D . Mitral regurgitation
E . Pulmonary stenosis

Answer: C