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+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)
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