title: Biologic Valve Leaflet Perforation Causing Persistent Aortic Insufficiency After Successful Transcatheter Closure of Paravalvular Leak.
abstract: Persistent paravalvular leak after aortic valve replacement prompted transcatheter closure with an Amplatzer VSD device. Although technically a successful procedure, aortic insufficiency persisted, leading to surgical reexploration and valve replacement.
authors.affiliation: From the *Cardiac Surgery Section, Department of Surgery, †Cardiology Section, Department of Medicine, and ‡Department of Internal Medicine, Holy Cross Hospital, Fort Lauderdale, FL USA.
authors.forename: Imad F
authors.initials: IF
authors.lastname: Tabry
authors.forename: Mammen P
authors.initials: MP
authors.lastname: Zakharia
authors.forename: Gordon D
authors.initials: GD
authors.lastname: Onstadt
mesh_terms: D000368:Aged; D001022:Aortic Valve Insufficiency / Q000209:etiology*; D001705:Bioprosthesis / Q000009:adverse effects*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011475:Prosthesis Failure / Q000009:adverse effects*; D065467:Transcatheter Aortic Valve Replacement / Q000009:adverse effects*