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Apico-aortic valved conduit as an alternative for aortic valve re-replacement in severe prosthesis–patient mismatch

Department of Cardio-thoracic Surgery, Hotel Dieu de France Hospital, Alfred Naccache Street, Beirut, Lebanon

*Corresponding author. Tel.: +961-1-615300; fax: +961-1-615295.

E-mail address: jamilhajjchahine{at}yahoo.fr (J. Hajj Chahine).

Off-pump implantation of an apico-aortic bioprothesis-valved conduit in a 75-year-old female symptomatic patient with severe prosthesis–patient mismatch secondary to a previous aortic valve replacement, calcified ascending aorta, tight adhesion with the sternum, was successfully conducted to relieve the left ventricle from severe aortic stenosis.

Key Words: Aortic stenosis; Apico-aortic conduit; Prosthesis–patient mismatch