On (b)(6) 2020, a 31mm masters series valve expanded cuff was selected for implant in the patient.Prior to the procedure the leaflets were checked multiple times using a q-tip, but once the device was implanted one leaflet would not open.The device was removed from the patient and the leaflets appeared to open and close normally outside the annulus.A 33mm medtronic hancock tissue mitral valve was implanted instead and the procedure was completed.The patient did experience a low output syndrome from the 3 aortic cross clamps during the procedure.
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