A 71-year-old female presents with central chest pain and shortness of breath and further investigation reveals marked dilatation of the thoracic aorta. Computed tomography of the aorta (CTA) demonstrates a maximal diameter of the aortic root of 40 mm, ascending aorta of 70 mm, aortic arch of 57 mm and the descending thoracic aorta of 40 mm. Transthoracic echocardiogram demonstrates a dilated left ventricle with severe global systolic dysfunction. The left ventricular ejection fraction is 33%. There is moderate aortic regurgitation and moderate mitral regurgitation. Coronary angiography reveals no significant coronary disease.
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