title: Successful emergency double valve repair operation during acute aortic dissection type A.
abstract: Reconstructive valve surgery in acute aortic dissection type A (AADTA) remains challenging. We describe a case of successful combined repair of the aortic and mitral valves, and replacement of the ascending aorta after AADTA with aortic and mitral insufficiency. Mitral valve repair was achieved by quadrangular resection of the posterior leaflet, combined with ring annuloplasty. Aortic valve repair was achieved by Cabrol commissural sutures with resuspension of the annulus. The postoperative clinical course was uneventful and an echocardiogram revealed competent mitral and aortic valves. Mitral and aortic valve repair is an option in AADTA with mitral and aortic valve insufficiency.
authors: Kartal Kosuyolu Yuksek Ihtisas Heart Education and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey. taylanadademir@gmail.com
authors: Taylan
authors: T
authors: Adademir
authors: Altug
authors: A
authors: Tuncer
authors: Mehmet
authors: M
authors: Ozkokeli
authors: Ahmet
authors: A
authors: Sasmazel
authors: Hasan
authors: H
authors: Erdem
authors: Rahmi
authors: R
authors: Zeybek
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D058385:Cardiac Valve Annuloplasty; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D058386:Mitral Valve Annuloplasty; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome