“Barred” mitral valve

A 74-year-old man with severe aortic valve stenosis associated with ascending aortic aneurysm, moderate mitral valve regurgitation (type I according to Carpentier’s classification), and three-vessel disease underwent combined aortic valve and ascending aortic replacement, mitral valve pericardial band anuloplasty and triple coronary artery bypass grafting. Intraoperative transoesophageal echocardiography showed no residual mitral regurgitation. Postoperative recovery …