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Ankylosing spondylitis (AS) is an autoimmune disease with various articular and extra-articular manifestations. The cardiovascular manifestations of the disease include aortitis, aortic valve disease, conduction disturbances, aortic or mitral regurgitation and cardiomyopathy. The present study deals with an unusual presentation of short clinical history of spondyloarthritis, and initial presentation of cardiovascular manifestations aortic regurgitation and aortoarteritis.

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