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But teams already knew about those conditions before coming to the combine. Lotulelei’s situation came as a major surprise.

Arians said he was “shocked” that the problem had not been detected before now.

Finding a potential ailment in a player with aspirations of going No. 1 is certainly not the norm, though it is not unprecedented. In 2011, defensive end Da’Quan Bowers came to the combine projected to go No. 1, but during a medical recheck, doctors found signs of potential long-term arthritis and some weakness in his surgically repaired right knee. Bowers wound up sliding out of the first round and wasn’t selected until No. 51 overall by Tampa Bay.

This time, though, it’s different.

“We’re talking about a heart,” Arians said. “That’s huge. We’re not talking about a knee or a shoulder.”