It was reported that on (b)(6) 2024, an epic valve mitral was chosen for implantation during a triple valve replacement surgery.The patient presented with acute decompensation on massive aortic insufficiency, mitral insufficiency, tricuspid insufficiency with a weak right ventricle.The surgery was performed urgently due to the patient condition.The epic was placed in the mitral valve, a non-abbott valve was placed on the aortic valve, and a non-abbott ring was placed on the tricuspid valve.After weening the patient off of cardiopulmonary bypass (cpb), during an echocardiographic control imaging, a massive eccentric jet was observed coming through the epic valve.The patient was put back on cpb and the valve was explanted and replaced with a non-abbott 29mm valve.Outside of the patient, a tear was observed in the leaflet 1mm down the commissure along with fenestration of the leaflet.Bypass time was extended by 90 minutes.The patient left the operating room relatively stable.Temporary pacemaker wires were inserted in case the patient developed arrhythmia.Arrhythmia did not occur so the pacemaker was removed.Due to right ventricular failure along with fragility of patient, the patient died one day after the procedure on 29 february 2024.The physician attributes the death to the performance of the epic valve along with the procedural and patient conditions.
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