She spent three years suffering because Ethan always chose Chloe. Even after Chloe nearly killed her, Ethan forced Ava to sign away her right to sue. Then Chloe pushed her too far and Ethan forced Ava to donate her kidney. That was final betrayal. With General Walker's help, Ava faked her death and disappeared. When Ethan learned she was dead he uncovered Chloe's crimes and realized that he had destroyed the woman he loved. As she starts over in a new town, Ethan is left with nothing but regret.