Abstract
A 73-year-old man underwent aortic valve and ascending aorta replacement in 2007. One year later he presented to our institution for dyspnea with increased transvalvular gradients. During re-operation, an intact valve with massive thrombus was found (Fig. 1). Thrombectomy was successfully performed (Fig. 2). At 3-year follow-up, the valve was functioning normally. www.elsevier.com/locate/ejcts European Journal of Cardio-thoracic Surgery 40 (2011) 1540
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