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It was reported that on (b)(6) 2026, a 27mm navitor was chosen for implantation, utilizing a large flexnav.The patient presented with severe aortic stenosis, atrial fibrillation, right bundle branch block (rbbb), and calcification was confirmed from the annulus to the subvalvular to left ventricular outflow tract (lvot).It was noted that imaging difficulties occurred during the procedure.The valve was implanted at a depth of 4.6 mm on non-coronary cusp (ncc) and 3.3 mm on left coronary cusp (lcc).The procedure was completed.On (b)(6) 2026, the patient presented to the hospital with atrial fibrillation and symptomatic second-degree heart block.To treat the heart block, a permanent pacemaker was implanted on the same day.On (b)(6) 2026, an echocardiogram was performed and revealed mild paravalvular leak (pvl).The patient was reported to be stable and discharged to home.No additional information was provided.
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