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Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
* Address correspondence to Dr Reade, Division of Cardiovascular Surgery, University of Pennsylvania, 6 Silverstein, 3400 Spruce St, Philadelphia, PA 19104 (Email: clifton.reade@uphs.upenn.edu).
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A 67-year-old man originally presented with left jaw and right shoulder pain and was ruled out for coronary artery disease. However, a transthoracic echocardiogram showed +3 aortic insufficiency and a 6-cm ascending aortic aneurysm. After presentation to our aortic diseases clinic, he was taken to the operating room for repair.
Intraoperative transesophageal echocardiography confirmed good ventricular
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