It was reported that on (b)(6) 2023, a 21mm epic plus supra was chosen for implantation as a aortic valve replacement.The patient presented with lower coronary ostia height.The valve was implanted, but the stent post obstructed/impinged the coronary ostia, causing blood pressure to lower.The valve was explanted and a non-abbott 19mm valve was implanted at an intra-annular position successfully.Blood pressure returned to normal.The patient remained on cardio-pulmonary bypass throughout the procedure.There was a 40 minute delay to replace the valve, which resulted in no patient effects or intervention.The patient was reported to be stable.
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