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It was reported that on (b)(6) 2026, a 29mm navitor vision valve was selected for implant using a large flexnav delivery system (ds).Pre-implant balloon aortic valvuloplasty (pre-bav) was performed by using a 24x40mm, non-abbott balloon.During pre-bav, the balloon slipped out of the annulus twice preventing optimal balloon positioning and expansion within the annulus.However, the physician considered the pre-bav result to be sufficient and proceeded with the implantation of navitor valve.During the procedure, on the first attempt, incomplete stent opening (iso) was observed so the valve was recaptured.On the second attempt, iso remained unchanged necessitating another recapture and decided to remove the valve from the patient's anatomy.Pre-bav was performed once again, and it resulted in a satisfactory result.The physician decided to reuse the same valve despite the sales representative's recommendation.However, full stent opening was achieved, and the valve was able to be implanted successfully without the need of any additional recapturing at a depth of 5.2mm on the non-coronary cusp (ncc).The patient remained hemodynamically stable throughout the procedure and there was no clinically significant delay reported.The user believe the valve expanded non-uniformly as the fluoroscopy revealed iso.The patient was in a stable condition and subsequently discharged.
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