A 46-year-old male is evaluated in the hospital for a 6-week history of fatigue and worsening dyspnea. Medical history is significant for a bicuspid aortic valve. Conjunctival hemorrhage is present in the left eye. Which of the following complications associated with bicuspid aortic valve disease is most likely causing the patient's symptoms?
a) Aortic stenosis
b) Aortic regurgitation
c) Infective endocarditis
d) Aortic dissection
