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These developments have been associated with some unpredicted complications whose aetiologies are now starting to develop into patterns which may be related to valve design as well as specific patient anatomic substrates. We report the case of an iatrogenic communication from the RVOT into the right coronary sinus by a Harmony valve in a patient whose original diagnosis was pulmonary stenosis with a small ventricular septal defect.<\/jats:p>","DOI":"10.1002\/ccd.70634","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T08:52:25Z","timestamp":1777020745000},"page":"178-182","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Aortic Sinus\u2013to\u2013RVOT Communication Following Harmony Valve Implantation"],"prefix":"10.1002","volume":"108","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1500-9334","authenticated-orcid":false,"given":"Gareth J.","family":"Morgan","sequence":"first","affiliation":[{"name":"The Heart Institute Childrens Hospital of Colorado and University Hospital Colorado, University of Colorado School of Medicine Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen P.","family":"McCarthy","sequence":"additional","affiliation":[{"name":"Cardiac Morphology Unit Royal Brompton &amp; Harefield Hospitals, Guys and St Thomas' NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Downs","sequence":"additional","affiliation":[{"name":"The Heart Institute Childrens Hospital of Colorado and University Hospital Colorado, University of Colorado School of Medicine Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C.","family":"Love","sequence":"additional","affiliation":[{"name":"University of New Mexico Health Sciences Center Albuquerque New Mexico USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2016.10.43"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.3345\/kjp.2013.56.6.263"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03091763"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2024.02.012"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.06.012"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2020.00583"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.30901"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.31016"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(98)00089-8"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2025.02.025"},{"key":"e_1_2_5_12_1","volume-title":"Chapter 20: Congenital Abnormalities of the Sinuses of Valsalva","author":"Perloff J.","year":"2023"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.019987"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/life13051127"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27962"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/21501351231186898"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70634","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70634","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70634","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T18:16:01Z","timestamp":1786558561000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70634"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,24]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/ccd.70634"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70634","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,24]]},"assertion":[{"value":"2025-07-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}