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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 332:1015-1022 April 13, 1995 Number 15
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Case 11-1995— A 39-year-old man with chronic renal failure, aortic regurgitation, and a calcified mass about the aortic root
S.A. Abraham, and K.K. Hansen

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Presentation of Case

A 39-year-old man was admitted to the hospital because of calcifications around the aortic root, a recent myocardial infarction, and subsequent congestive heart failure, with increasing aortic regurgitation.

The patient had been well until six years earlier, when progressive renal insufficiency with hypertension was found. A low-protein diet and enalapril were begun. He was subsequently well until four months before admission, when chest pain developed and he entered another hospital. The urea nitrogen concentration was 143 mg per deciliter (51.1 mmol per liter), and the creatinine concentration was 9.4 mg per deciliter (830 µmol per liter). An electrocardiogram showed an . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Stephen A. Abraham's Diagnosis

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Anatomical Diagnosis

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