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On follow-up echocardiography, the SIS group continued to have a wider EOA (1.6±0.4 vs. 1.4±0.3 cm , p0.001) and a lower mean PG (11.0±5.1 vs. 14.1±5.5 mm Hg, p0.001). There was no significant difference in paravalvular leakage. The SIS technique for AVR was associated with a wider EOA and a lower mean PG. The SIS technique could be a reasonable option for AVR. The SIS technique for AVR was associated with a wider EOA and a lower mean PG. The SIS technique could be a reasonable option for AVR.The simultaneous incidence of infect