Multiple Valve Repair Facilitated by Aortic Ring Annuloplasty.

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 (AI). With the development of aortic ring annuloplasty, 90-95% of AI 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.