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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
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Dr. Stephen A. Abraham's Diagnosis
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Anatomical Diagnosis
References
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