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Cardiovascular: Surgery Date: 03/13/XX Preoperative Diagnosis: Severe aortic and mitral valve stenosis Postoperative Diagnosis: Severe aortic and mitral valve stenosis Operative Procedure: Aortic valve replacement using a synthetic valve prosthesis; mitral valve replacement using a 26-mm bovine pericardial valve prosthesis; transesophageal echocardiogram; cardiopulmonary bypass. Anesthesia: General endotracheal Description of Procedure: Patient brought to the OR and placed on the OR table in the supine position. Arterial line and Swan-Ganz catheter were placed, general endotracheal anesthesia induced, and the patient prepped and draped in the usual fashion. Transesophageal echocardiogram of the heart and aorta was then performed. Next the chest was opened through a midline median sternotomy incision. The patient was heparinized and aortic and single right atrial cannules were inserted in the usual fashion. Retrograde cardioplegia line was placed through the right atrium in the coronary sinus. The patient was next placed on cardiopulmonary bypass and cooled to 27 degrees centigrade. During the cooling process, the aorta was cross-clamped and 1000 ml of cold cardioplegic solution was given. Inspection of the mitral valve revealed a severely diseased mitral valvular apparatus with calcification in the annulus. A few of the secondary and primary chordae were able to be preserved but the entire anterior leaflet was removed along with decalcifying the annulus. 2-0 Ti-Cron pl

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