PMC5881436_01
Pathology reported a 3.0 x 2.5 x 0.5 cm aggregate of yellow to green, irregular friable tissue. Culture of the valve was negative after 10 days of incubation.
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The surgeon stated that the SAPIEN valve was very difficult to remove due to many small vegetations on all of the leaflets, as well as below the leaflets and between the native valve and the SAPIEN valve (Fig. 1).