Điều trị thành công bệnh nhân người lớn có bệnh đa van tim và hẹp eo động mạch chủ trong một thì qua đường mở xương ức tại Bệnh viện Hữu nghị Việt Đức

Report a complex case with multi-valve disease and coarctation in adult patient, who underwent successful one-stage surgical treatment through mild sternotomy. Patient and method: This is a retrospective descriptive report a complex case. Result: The forty-two-year-old man was admitted to our hospital with diagnosis: arterial hypertension, server aortic valve regurgitation, mild mitral valve and tricuspid valve regurgitation, dilatation of ascending aorta and coarctation. On 11/05/2022 patient underwent surgery for aortic valve replacement, repair of mitral and tricuspid valve, ascending to descending aortic bypass, using 16mm Darcron graft through mild sternotomy. The patient was extubated after 6 hours and discharged from the hospital after 10 days of surgery without complications. Postoperative echocardiography and CT scan show good function of valves and no gradient on coarctation. Conclusion: Extra anatomic ascending to descending aortic bypass simplifies operative process and it may perform through only mild sternotomy.