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foreign thank you very much for the invitation to speak at the CCC clear my disclosures so we recently published a review article on Tabby in degenerative surgical valve or tab in sap and I encourage you to read this because this offers a nice comprehensive review of this topic and you can see that here with patient selection procedural planning and the procedure highly important in terms of determine the feasibility and the technique associated with tavr in cyber so how do we distinguish structural model deterioration versus prosthesis patient mismatch in terms of whether tablet and cyber will be beneficial you can see that here with PPM tend to on t look at the valve is actually structurally normal however you can see the eoa is also could be normal and also the new a it will be greater than one centimeter with a d VI of 0.25 to 0.34 so let me give you a couple examples this is 33 year old obese theme uh female Pi area or 19 millimeter Trifecta very small bowel very many invasive app
