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Background  Small aortic annuli are a challenge and a proper valve size is needed to avoid important prosthesis-patient mismatch, especially in case of multiple valves surgery.    Case presentation  We proposed a technique involving the use of Hegar dilators in the aortic position while replacing the mitral valve, in order to maintain the proper aortic diameter. We used this method on two patients and we found it easy and reproducible.    Conclusions  We report neither operative nor postoperative complications.

Hegar–based method for aortic valve replacement in multiple valve surgery