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Here, we present the use of the Ross procedure in a 42\u2010year\u2010old woman with mild intellectual disability, APS, and a complex anticoagulation history after she presented with thrombosis of her mechanical On\u2010X aortic valve previously implanted for non\u2010bacterial thrombotic endocarditis.<\/jats:p>","DOI":"10.1111\/1756-185x.14596","type":"journal-article","created":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T16:52:22Z","timestamp":1676998342000},"page":"1152-1156","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ross procedure after prosthetic valve thrombosis in a patient with antiphospholipid syndrome and recurrent bleeding"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2579-4965","authenticated-orcid":false,"given":"Saeid","family":"Mirzai","sequence":"first","affiliation":[{"name":"Medicine Institute Cleveland Clinic  Cleveland Ohio 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