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so the history of valve surgery goes goes back pretty far and the first successful valve replacement was in the early 1950s with the huffnagel valve and this this was a silastic ball in a tube and it was actually placed in the descending aorta because we really didnamp;#39;t have the ability to safely stop the heart and go on cardiopulmonary bypass yet but you can see the the positioning right here in the descending aorta and it really only helped a Oregonamp;#39;s sufficiency of blood coming back from the lower body all kinds of iterations of valves the star Edwards is really the one that started things off successfully and there there have been numerous reports of 40-year outcomes with star Edwards valves and they had excellent results but there were certain iterations that where they thought they were making things better or they actually made things worse and I think the most important thing about valve choices is learning from our mistakes and as we move forward with Tav