Abstract

• A 36-year-old male farmer was admitted due to exertional dyspnea for 15 years. Cardiac examination revealed mitral valvular stenosis. aortic valvular stenosis and regurgitation. Single pulmonary nodule was found in the left lower lung field in chest X-ray.
  Concomitant double valve replacement and resection of pulmonary nodule were performed using mid-sternotomy simultaneously.
  Postoperative course was uneventful and pathological diagnosis of pulmonary nodule was hamartoma.