This case involves a seventy-seven-year-old female patient with severe aortic stenosis. The patient presented to her primary care physician with a 6 month history of worsening shortness of breath and was referred to a cardiologist. The cardiologist performed a transthoracic echocardiogram which revealed severe atrial stenosis with a valve area of 0.7 cm2. The cardiologist recommended that the valve be replaced. The patient underwent the aortic valve replacement surgery with a 21 mm Medtronic 3F tissue valve. Post-operatively the patient’s valve appeared to have a high gradient which was confirmed through cath lab evaluation. The decision was made to return the patient to the operating room for surgical revision of the valve replacement. She underwent removal of the first valve and an aortic root replacement with single vessel bypass grafting. The patient’s post-operative recovery was fraught with numerous complications. She suffered significant coagulopathy which was managed through anticoagulant therapy. The patient subsequently suffered hemorrhaging at the site of the surgical incision. Later, the patient developed heart failure which led to generalized edema. The patient was sent to the ICU with an open chest and returned for a mediastinal washout with temporary dressing closure. Hepatorenal failure and multi-organ system failure ensued shortly thereafter. The decision was made to withdraw life support after the patient developed massive acidosis which was thought to be caused by an abdominal event.