(b)(6).Contact phone number (b)(6).Contact address: (b)(6).History of prosthetic porcine cardiac valve.Due to deterioration of the product he is requiring increase in medication due to heart failure.Positive for recent hospitalization.Replacement of both the aortic valve and the mitral valve.Paper medical records available with information on each valve.Valve #i st.Jude medical epic valve mitral valve 25mm catalog ii ei00-25m-00, lot# 180424294, exp 2022-03-20.Valve 112 st.Jude medical trifecta valve with glide technology aortic valve 21mm catalog ii tfgt-21a, lot# 16486560, exp 2019-03-13.Placement at (b)(6) hospital of (b)(6) on (b)(6) 2018.Recall on product.Tee results: aortic valve: bioprosthetic av present.Leaflets are mobile.There is moderate transvalve ar.The di is 0.41.At is 92ms.The mg is 28mmh mitral valve: bp mitral valve well seated, no stenosis or regurgitation.Tee reveals: (b)(6) 2023 normal lv and rv function.The bioprosthetic mitral valve is well seated and no stenosis and normal wash out jet.No paravalve leak.The bioprosthetic trifect aortic valve bas mild degeneration changes with no stenosis, however bas moderate ar and also patient prosthesis present.Need to switch to coumadin due to "valvular" afib with local cardiologist.Potential mix-match size per expert opinion.Reference report: mw5120625.
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