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It was reported that on (b)(6) 2026, a 23mm navitor vision valve was selected for implant using a small flexnav delivery system (ds).Pre-implant balloon aortic valvuloplasty (pre-bav) was performed by using a 20mm, non-abbott balloon.During the procedure, an incomplete stent opening (iso) was observed but able to be mitigated as per the established steps.The valve was able to be implanted successfully without complications at a depth of 3mm on the non-coronary cusp (ncc).Post-implant, mild paravalvular leak (pvl) was noted.Post-implant balloon aortic valvuloplasty (post-bav) was performed by using a 23mm, non-abbott balloon with an additional 2ml inflation to optimize prosthesis expansion and correct the pvl.Post-procedure, transthoracic echocardiographic (tte) evaluation showed significant central aortic regurgitation, confirming prosthetic valve dysfunction with reported leaflet inactivity and hemodynamic instability characterized by alternating hypertension and hypotension.A second 23mm, navitor vision valve was implanted within the index valve.Final echocardiogram assessment showed absence of central regurgitation and pvl.No clinically significant delay occurred, no prolonged hospitalization was required, and the patient was discharged.
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