Saleh Alsalehi̇, Mehmet Altuğ Tuncer, Eylem Yayla Tuncer, Rahmi Zeybek

Keywords: Aortic valve stenosis; pulmonary valve stenosis; ventricular outflow obstruction;adult; congenital.


Although aortic and pulmonary valve stenosis are among the most common congenital heart defects, the combination of both aortic and pulmonary valve stenosis in the same patient appears to be very uncommon. Accurate diagnosis of combined valvular stenosis is imperative prior to surgical correction otherwise surgery of only one of the lesions may result in an insufficient hemodynamic improvement. A 34-year-old man with congenital aortic and pulmonary valve stenosis underwent Nick's operation, aortic valve replacement, pulmonary valvotomy and resection of anomalous muscle of the right ventricular outflow tract. The operation was successfully performed and postoperative course was uneventful.