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I just wanted to let you know that even though I'm looking quite old, I'm still a millenial.
So I just had a "New Year, New Me" moment and my resolution is to become a new and improved version of myself in a couple of weeks.
Don't worry, my wisdom won't change. You're still going to find the same useful information here. Stay tuned!
AMA Category 1 Credit for Physicians Only.
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The echocardiographic findings are ascending aortic aneurysm, sinotubular junction effacement, severe aortic regurgitation, sidel lobe artifact in the ascending aorta probably from a PAC, normal aortic valve apparatus except for the dilated and effaced sinotubular junction (STJ).
The diagnosis is severe aortic regurgitation from an ascending aortic aneurysm that disrupted the sinotubular junction:aortic valve annulus ratio. The cause of the aortic aneurysm is most likely due to a connective tissue disease (Marfan's Syndrome, Ehlers-Danlos syndrome, idiopathic cystic medial degenreation) because of the STJ effacement. Other causes of ascending aortic aneurysms (hypertension, BAV) do not usually cause effacement of the sinotubular junction/Sinuses of Valsalva.
The aortic regurgitation is severe. The jet is wide and exceeds 66% of the LVOT diameter. Since the aortic valve is relatively normal, replacing the ascending aorta (modified Bentall/David procedure) should be able to correct the aortic regurgitation.
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