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Trans\u2010ventricular mechanical valve extraction (with transcatheter endovascular occlusion and cardioplegia) followed by direct ante\u2010grade transcatheter heart valve implantation offers a potential solution to this conundrum. The procedure described is a novel technique that allows for the effective treatment of patients with failed mechanical surgical aortic valve prostheses in the setting of an inoperable porcelain aorta. In addition, a collaborative integrated multi\u2010disciplinary heart team environment is required for the management of these complex patients.<\/jats:p>","DOI":"10.1002\/ccd.29465","type":"journal-article","created":{"date-parts":[[2021,2,6]],"date-time":"2021-02-06T11:44:45Z","timestamp":1612611885000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Plaster pipes and crystalized graphite: Open transventricular transcatheter aortic valve replacement for failed mechanical aortic valve prostheses in the porcelain aorta"],"prefix":"10.1002","volume":"98","author":[{"given":"Matthew S.","family":"Yong","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery Princess Alexandra Hospital, Ipswich Road  Brisbane Australia"},{"name":"University of Queensland  Brisbane 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