“…3,10 Bucking this trend, we reported the use of homografts as a replacement for aortic and mitral valve diseased in 56.2% and 21% of patients who developed abscess formation. 4,65,66,87,89,90 Sometimes in the presence of aggressive IE with extension to the aorto-mitral junction and mitral valve, we opted for a double homograft. 4,89,107 In two-thirds of recipients, we performed a monobloc implant while one third received a separate bloc with partial mitral homograft insertion.…”