The Commando Revisited in Adolescent with Severe Aortic and Mitral Valve Stenosis
The patient, now a fifteen-year-old boy, was born with multivalvular disease with congenitally stenotic bicuspid aortic valve (AV). This was combined with congenital mitral valve (MV) stenosis and Ebsteinoid regurgitant tricuspid valve (TV). He underwent two previous sternotomies for repair and re-repair of all three valves. He also had a previous supravalvular aortic stenosis that was relieved by patch aortoplasty.
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