{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T01:00:16Z","timestamp":1785286816468,"version":"3.55.0"},"reference-count":10,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Paravalvular leak (PVL) and left ventricular pseudoaneurysm can develop after surgical valve replacement, often as a result of suture dehiscence and annular disruption, potentially causing refractory heart failure. While re\u2010operation poses a high risk, transcatheter PVL management remains equally difficult due to the possibilities of device instability and interference with mechanical prosthesis leaflets. We present an early postoperative mitral PVL that was connected to a large left ventricular pseudoaneurysm, in which standard PVL closure devices would have restricted leaflet movement. A novel transcatheter approach was developed with virtual reality simulation, and implemented through a combined transseptal and percutaneous transapical access to deploy a covered stent across the PVL for exclusion of the pseudoaneurysm, followed by device closure of the stent lumen.<\/jats:p>","DOI":"10.1002\/ccd.70777","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:54:30Z","timestamp":1785286470000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Transcatheter Management of a Mitral Paravalvular Leak and an Adjacent Large Left Ventricular Pseudoaneurysm Using a Covered Stent\u2014Nitinol Occluder Combination"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2385-3199","authenticated-orcid":false,"given":"Pramod","family":"Sagar","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiology Adult Structural and Congenital Heart Diseases Institute of Cardio Vascular Diseases, Madras Medical Mission Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2722-8550","authenticated-orcid":false,"given":"Puthiyedath","family":"Thejaswi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Adult Structural and Congenital Heart Diseases Institute of Cardio Vascular Diseases, Madras Medical Mission Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aashish","family":"Chopra","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Adult Structural and Congenital Heart Diseases Institute of Cardio Vascular Diseases, Madras Medical Mission Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8489-2322","authenticated-orcid":false,"given":"Kothandam","family":"Sivakumar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Adult Structural and Congenital Heart Diseases Institute of Cardio Vascular Diseases, Madras Medical Mission Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"792","article-title":"Early and Late Results of the Surgical Correction of Cardiac Prosthetic Paravalvular Leaks","volume":"14","author":"Akins C. 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B. M.","year":"2016","journal-title":"Catheterization and Cardiovascular Interventions"},{"key":"e_1_2_6_10_1","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1007\/s00246-024-03413-z","article-title":"Virtual Reality Software Aids Precise Transcatheter Closure of Sinus Venosus Defect Using Covered Stent Without 3D Printing","volume":"45","author":"Sivakumar K.","year":"2024","journal-title":"Pediatric Cardiology"},{"key":"e_1_2_6_11_1","first-page":"635","article-title":"Transcatheter Paravalvular Leak Closure With Covered Stent Tract and Vascular Plug","volume":"17","author":"Ueyama H. A.","year":"2024","journal-title":"JACC: Cardiovascular Interventions"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70777","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70777","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70777","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:54:31Z","timestamp":1785286471000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70777"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,28]]},"references-count":10,"alternative-id":["10.1002\/ccd.70777"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70777","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,28]]},"assertion":[{"value":"2026-03-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ccd.70777"}}