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This can be a cautionary note regarding this particular titanium dish, which is used in lots of procedures.Ultrasound cardiography showed extreme aortic regurgitation (AR) due to bicuspid aortic valve with dilatation regarding the aortic annulus and sinotubular junction in a 27-year-old guy hospitalized with lack of awareness. He underwent aortic valvuloplasty combined with additional suture annuloplasty using an expanded polytetrafluoroethyl