On (b)(6) 2013, a mitral valve replacement (mvr) was performed for the treatment of mitral stenosis (ms) and this 27mm epic valve was implanted.Reportedly, the patient's native posterior leaflet was preserved during the procedure.In (b)(6) 2017, mitral regurgitation (mr) was confirmed and on (b)(6) 2017, re-do mvr was performed.The epic valve was explanted and at explant, a leaflet on the posterior side appeared torn at the commissure from the stent post towards the nadir.No thrombus, calcification or pannus was observed.Subsequently, a 25mm epic valve (sn unknown) was implanted and the patient's postoperative condition was reported to be unstable.
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