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good afternoon to you ladies and gentlemen Iamp;#39;m opiod of editor-in-chief of Indian Journal of thoracic and cardiovascular surgery and CEO National Heart Institute in Delhi itamp;#39;s a proud privilege to have prof said the Bartolomeo Roberto from University of Bologna welcome professor thank you Reza you have been on the forefront of yachting surgery and probably one of the largest series of frozen elephant trunks so our congratulations and thatamp;#39;s where I want to pick your brains on essentially on redo surgery first thing I would like to know is why do you actually need redo operations in a Horta and what is their current incidents in the last year the number of the patient that arrived in our restitution for the radio operation in our in terrassa quarter increases the reason is many first the increasing age of the patient especially in Europe in USA in Canada and the the increased number of the operation the increased number the implantation of the biological valve in