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The patient was a 38-year-old G1P000 woman with bicuspid aortic valve disease who 5 years prior to presentation underwent surgery for mixed aortic valvular disease and ascending aortic dilation of 5.2 cm. She received a #23 St. Jude Medical Trifecta stented bioprosthetic graft with end-to-end anastomosis 8-mm Terumo Gelweave Dacron graft. Four years after her surgery, she had issues with swelling and dyspnea.
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