34 year old woman with Marfan's syndrome and known severe mitral valve prolapse with regurgitation, who was planned for a MV repair but was lost to follow-up. She remains symptomatic and is now prepared to undergo mitral valve repair/replacement surgery. EF of 65% on TTE. 
Past Medical History:
Marfans Syndrome
MVP with severe mitral regurgitation
Gastric reflux disease
History of gestational diabetes mellitus
Hypertension with pregnancy
Obesity
c-section x 2
laser eye surgery
cataract surgery
foot surgery (shorten bone length)