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Submitted: 20 November 2025 You are already at the latest version Background: The Ozaki procedure offers excellent hemodynamics and mid-term durability, but infective endocarditis (IE), although rare, remains its most serious complication and frequently requires complex redo surgery. Sutureless valve technology—particularly the Perceval bioprosthesis—has shown value in high-risk endocarditis due to reduced annular manipulation and rapid deployment.
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