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A Successful Double Valve Repair On An Interesting Background. Case Report
Dina Alwaheidi, Tamer Abdalghafoor, sarhan Hatem, Ali Kindawi.
Hamad medical corporation, DOHA, Qatar.

OBJECTIVE: A successful double valve repair on an interesting background. case report
METHODS: we performed plication of both the central and the free edge of the fused right and left aortic cusps. additional sutures to fix the commissures from outside, as it increases the area of apposition for the valve leaflets as it suspense them to achieve more tension. which we believe to be associated with reduced risk of repair failure . the patient had concomitant mitral regurgitation due to perforation of the A3 segment of the anterior mitral valve which was repaired using a synthetic pericardial patch, followed by implantation of a 30mm annuloplasty ring
RESULTS: Intra-operative TEE confirmed competent repair with trivial regurgitation in both valves and no stenosis Follow up Echocardiography showed competent repair in both valves CONCLUSIONS: BAV repair has become a seemingly better alternative to AVR with favorable hemodynamics and survival, considering the younger age of presentation of such pathology.


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