We present the case of a 49-year-old patient with aneurysm of the ascending aorta as well as mitral and aortic valvar insufficiency treated surgically. Preoperatively the patient was in NYHA functional class IV. We implanted mitral and aortic valvar prostheses and an intraluminal vascular graft in the ascending aorta above the coronary ostia. The postoperative course was uneventful. Five months after the operation the patient is in functional class II.
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