Late Systolic Murmur At in Medicine / Internal Medicine — 19yo Man | Cardiology | SMLE Q#661

SMLE Question #661

Medicine / Internal Medicine Cardiology
Last updated: February 2026
A 19-year-old male college basketball player is found on routine examination to have disproportionately long arm span, long slender fingers, high-arched palate, and mild thoracic scoliosis. His father died suddenly at age 35 after being told he had an enlarged aorta. Cardiac auscultation reveals a mid-systolic click with a late systolic murmur at the apex. Which of the following is the most likely underlying syndrome?

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