B3 - date of event is estimated.D4 - the udi number is not known as the part and lot numbers were not provided summarized patient outcomes/complications of mhv - regent (mechanical heart valve) were reported in a research article in a subject population with multiple co-morbidities including severe aortic stenosis and moderate aortic regurgitation.Some of the complications reported were stroke, unexpected medical intervention, heart block, and surgical intervention; these complications are anticipated for the procedure and subject population.A more comprehensive assessment could not be performed as the event was non-contemporaneously reported through a literature review and no device or individual patient information was received for analysis.Based on the information received, the cause of the reported incident could not be conclusively determined.
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The article, "aortic valve replacement in small aortic root- bi-leaflet mechanical valve is superior to a mono-leaflet mechanical valve", was reviewed.The article presented a retrospective, single center study to compare early and midterm outcomes following aortic valve replacement (avr) with a mono-leaflet (ml) valve and a bi-leaflet (bl) valve in a small aortic root.Devices included in the study were ttk chitra valve (mono-leaflet/ ml group) or st.Jude medical valve (bi-leaflet/ bl group).The article concluded that aortic valve replacement without any root widening procedure, using a small-sized mechanical valve provides acceptable early outcomes.Bi-leaflet mechanical valves provide better hemodynamics and survival percentage.The primary and corresponding author was (b)(6).The time frame of the study was from 01 january 2017 to 31 december 2019.A total of 98 patients were included in this study, of which 56 received an abbott device.The average age was 53.38 years in the ml group and 53.52 years in the bl group.The average gender was male.Comorbidities included severe aortic stenosis and moderate aortic regurgitation.Peri- and post-procedural complications included stroke, permanent pacemaker implant (surgical intervention), heart block, intra-aortic balloon pump support (unexpected medical intervention.
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