Letter to Editor: Emergency double-valve repair during acute aortic dissection type A operation

Acute aortic dissection type A (AADTA) is a life-threatening disease. Complications such as aortic rupture, cardiac tamponade and acute aortic regurgitation require immediate surgical intervention. Replacement of the aortic valve (AV), root and ascending aorta with a composite graft carrying a mechanical valvular prosthesis is one of the most used treatment option especially if the aortic root is severely impaired, but it is accompanied by disadvantages of mechanical valve prostheses, such as thromboembolic events and hemorrhage due to lifetime anticoagulation. There are several AV sparing operations for replacement of the ascending aorta to overcome the shortcomings of mechanical prosthesis. The Cabrol type of commissure sutures with or without resuspension of the valve is one of them, which are perfectly suited for patients with AADTA (1).