[Valve sparing operation in a patient with aneurysm of ascending aorta with aortic regurgitation and concomitant ischemic heart disease].

Bentall procedure is considered to be operation of choice for ascending thoracic aneurysms with aortic regurgitation. The however procedure has some inherent drawbacks (e.g. need of lifetime anticoagulation because of risk of late thromboembolic complications). These drawbacks can be eliminated by the use of valve saving surgery. We present a case of nontraditional valve saving operation combined with myocardial revascularization in a patient with ascending thoracic aneurysm, aortic regurgitation and ischemic heart disease. Technique of sinus of Valsalva plication for narrowing of sino-tubular ridge during prosthetic replacement of the ascending aorta turned out to be effective in this situation. The procedure described requires correct assessment of the state of aortic valve and selection of prosthesis of suitable diameter.