Early and late outcomes of patients undergoing multiple-valve procedures are better if all valves are repaired. Aortic/mitral multiple-valve repair has been limited by an inability to repair the more complex forms of aortic valve insufficiency. With the development of aortic ring annuloplasty 90% to 95% of aortic valve insufficiency pathologies now can be repaired, which opens most aortic/mitral multiple-valve procedures to the better repair outcomes. This report illustrates 4 cases of aortic/mitral ± tricuspid valve disease managed by multiple-valve repair.
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