I had open heart surgery at the age of 30. It was a total surprise. I discovered the issue accidentally after I had undergone another surgery to remove screws in my ankle from a surgey that I had in my late teens (I've had a lot of surgeries). During the post-op recovery, the nurse noticed my blood pressure was high and insisted that I see a cardiologist who told me that I had the big three: 1) an enlarged heart, 2) an aortic aneurysm, and 3) significant blow back into my heart each time it pump