aortic valve replacement with reduction aortoplasty with mesh prosthesis in 75 years old with sever aortic regurgitation with aortic aneurysm

Although classic and standard procedure for patients with ascending aorta aneurysm with sever aortic regurgitation is bentall surgery but in some selected cases this complex surgery was not performed with different reason like advanced age and coexisting comorbidity involving renal and hepatic and lung function. in our cases 75 years old man with chronic renal failure ( cr= 3.2 ) who was known case of sever aortic regurgitation and ascending aortic aneurysm with 5.5 diameter.replacement of aortic valve with biologic prosthesis aortic valve and reduction aortoplasty with mesh prosthesis was done successfully with good result with early follow up.