COM'on Case 7

A 50-year-old Afro-Carribean female presented with severe aortic regurgitation, aortic root aneurysm and cardiac decompensation. She refused surgical aortic repair. A CT scan showed occlusion of her left carotid artery and partial to severe stenosis of several other large arteries. A diagnosis was made and she was put on medications. Six months later, she redeveloped severe pulmonary edema and she finally agreed to aortic repair. Her dilated aortic root and aortic valve were resected. The valve was modestly thickened and unremarkable.

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