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Vrtik M et al. – Structural degeneration of allograft aortic root is a global process. In addition to valvular degeneration, the allograft wall calcification poses a risk of systemic calcific embolization and late phase anastomotic aneurysm formation and rupture. The authors routinely perform re–do aortic root replacement with either a mechanical valve conduit or bio–root composite graft. The technique has been successfully used in 22 consecutive patients with no operative mortality and minimal morbidity.

   

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