Evaristo Castedo, MD, Santiago Serrano-Fiz, MD, Juan F

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Failure of Percutaneous Closure of Prosthetic, Aortic Paravalvular Leak  Evaristo Castedo, MD, Santiago Serrano-Fiz, MD, Juan F. Oteo, MD, Sebastian Ramis, MD, Paloma Martinez, MD, Juan Ugarte, MD  The Annals of Thoracic Surgery  Volume 88, Issue 4, Pages 1327-1329 (October 2009) DOI: 10.1016/j.athoracsur.2009.02.054 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Intraoperative photograph showing partial detachment of the bioprosthesis (in mosquito) beneath the right coronary sinus. The Amplatzer vascular plug (AGA Inc, Golden Valley, MN) is well positioned within the leak. (B) The tear is progressing through the commissure with the left coronary sinus (arrow). Shape mismatch between the slant-eyed defect and the cylindrical occluder device. (C) The Amplatzer (AGA Inc) (in forceps) being removed. The Annals of Thoracic Surgery 2009 88, 1327-1329DOI: (10.1016/j.athoracsur.2009.02.054) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions