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Clinical information: (b)(4) - envision ide study, patient site (b)(6).It was reported that on (b)(6) 2026, a 27mm navitor vision valve was chosen for implant using a large flexnav delivery system.A pre-implant balloon valvuloplasty was done with a 24mm non-abbott balloon.The valve got fully and partially re-sheathed due to the implant being too high and too low.The final implant depth at non-coronary cusp (ncc) was 6.15mm and left coronary cusp (lcc) was 5.33mm.The patient developed a left bundle branch block (lbbb) after the third re-sheath and deployment of the valve.Post-procedure, a right bundle branch block (rbbb) was noted on ekg.The ekg on the following day noted a complete heart block and a permanent pacemaker was implanted.The patient was then discharged from the hospital on (b)(6) 2026.
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