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Duke University, Dr. David C. Sabiston
University of Alabama, Dr. John. W. Kirklin

Duke University, 1981 - 1990
UC San Francisco, 1990 - 1993
Vanderbilt University, 1993 - present

American Board of Surgery
American Board of Thoracic Surgery

American Association for Thoracic Surgery
Society of Thoracic Surgeons
Society of Heart Valve Disease
American College of Surgeons
Sabiston Surgical Society


Techniques and Results of Multiple Valve Repair

J. Scott Rankin MD, Helen B. Rankin, Paul R. Myers MD PhD

Centennial Medical Center, Vanderbilt University, Nashville, TN


Risk-adjusted operative mortality for multiple valve surgery is twice that for single valve procedures. Since valve repair produces better results than replacement, increasing multiple valve repair could improve outcomes. This study addresses techniques and results of autologous multiple valve reconstruction.


Of 559 consecutive valve procedures, 70 involved multiple valves (12.5%). From the first half of the series (Group-I, n=35) to the second (Group-II, n=35), mitral (M) and tricuspid (T) repair were increased with artificial chordal replacement, pericardial leaflet augmentation, and full ring annuloplasty. Aortic (A) valve repair was increased by aggressive commissural annuloplasty, central leaflet plication, and selective ultrasonic decalcification. Because aortic valve pathology in multiple valves was usually insufficiency, valve repair was especially applicable.

Mitral/Tricuspid  Valve Repair Techniques