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if we could move on to our next speaker is George George Mascaro who said early has taken on the the big shoes left behind by Professor Bonzo in Birmingham and Iamp;#39;m looking forward to his talk on the principles of read the way of the great surgeon thanks Jeff first of all would like to thank the Society for the invitation to come in and talk about this a big topic which is how to face and how to approach redo redo route surgery when I was preparing this talk I was amazed surprised that in actual fact when we redo the aortic root is not just or when we re-enter the chest in our tech surgery itamp;#39;s not only to redo the aortic root but itamp;#39;s a whole field and itamp;#39;s a whole a complexity of features that we need to we need to face and if we do a little bit of history we will see that the first hour tick valve replacement with a replacement of the ascending aorta was done in 1964 following this in 1968 bentyl and the bow know they developed the technique for route